Medical Journal of Shimane Prefectural Central Hospital
Online ISSN : 2435-0710
Print ISSN : 0289-5455
Case Report
Manifestation of onychomycosis in unilateral toe and finger nails of a one-year-old girl five months after trauma: A case report
Sayaka NakamuraShinichi InoueHiroko MatsumotoWataru KaitaYuko Mihara
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RESEARCH REPORT / TECHNICAL REPORT FREE ACCESS

2025 Volume 49 Pages 61-65

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Abstract
A healthy one-year-old girl presented with onychomycosis in the left foot unilaterally, with the toes and all fingers affected. Five months prior to the onset, she had a history of toenail injury. As two months of topical ketoconazole treatment showed no improvement, topical efinaconazole was selected as an alternative to alleviate symptoms. Although onychomycosis in children is extremely rare, trauma is an important predisposing factor. However, the literature is scant. Moreover, as limited data exist on the use of efinaconazole in children younger than six years of age, this case is the first report to suggest its efficacy and safety in a one-year-old infant.
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