Abstract
A total of 228 fingef specimenws ere collectedf iom a hundrcdp atientss ufieringf rom chronic
paronychi(aC .P).T he causaal gentsw efei solatedin puref orm usingd ifierenit ypeso l diagnosticu lturc
media( Saboufaud'dse xlrosea gar,b looda gar,E osinM ethyleneB luea gar,a ndK ligler iron agafs lopa nd
butt).T hey$ ,crel irlly identifiedb y rrsingc olonialm orphologyg,e n tubef or aliont est,c hlanrydospor€
lbrnratioDte sl.a ndl cmernaLioonf diiTerentiy peso fsugars.
Can.li.las peLies\, ,/eteis olatedff om 164n ail folds( 72%).w hile( 95.6%)w ercg run-negatireb acilli
and( 96.6%)\ |erc gtam-positirec occi.T he multiplei nfections(C andida+ g'.dr-pasitiw cacci+ grcnnegatiwb
acill, accrt:n 92 (40.4%)n ailf olds.T he isolatews efef ully identifiedb aclefiologicaly.
The oral carriageo f Cardnlds pecid \aas( 369/0t)h; is indicatetsh at oral contarnjnatioonf the handsw ith
Cdn.tidds pecies1 sr hen osl comnonc auseo fC.P.
The nrostp revalerti solateds peciesa f Candidai C.P. \\as C.albicans6 2 (45.3%)o ut of 137,
C.bapi.dlit 53 (33.1%), C.kerrrc 21115.3%) and C.gu ieromondil I (0.7%). There s,as a sigrificantly
differenceb etweenC dLlcans,C .kefurea ndC.gulliercnod ii;(P--0.01).Brt the.ew asn o s;gnificanl.
The fighl handw asi nvolvedlv ithc hronicp aronychiian 62%o f 100c ases.T hen extw ereb othh ands
\ " o o / ,a , , lr l , ce ah d rd ( 8 0, . l l c e e$r e . eo n l )r r ! o l v e1d1 < o oo " l e t o l a. h " e \ .
87% of DaLiets wefe lrcatedw ith toDicall %clotrimazolec r€an + combiDatioonf antibiotic+
stefoid (steroidw as stoppeda fter one week of lreatment)l.n tmDnrsculalnr jection of trianrcenolon
acetenoid(2 .5mg/'nl)in additionr o drea bovet featmenwt asg ivent o l7 paiienrsw ith vefy scvercs woller
andm lrllipiel ingersi nvolvemenTi.h e maioriDo/ fthe patienis4 7 (5i%) gaveg oodr esponsaen dc omplete
recoveryw ithin 60 days,h owevcfs omep alients,25(28.7%(i)n cludesth osew ho receivedin rmnuscular
injectiono fsteroid)w eref ecoverede a ier within4 0 days.b ul only l5(17.2%)o fthe patientsn eedl onger
peflodf or recovery(8 0days)].'h e dilTerencics statisiicallsyi gDificanbte rweetnh e fesponswe irhin6 0 days
iDc omparisotno thoser ecovefedw ithin4 0 dayso .80 daysr cspectively(P; <0.0l)
