Fungal infections

Question 1

Organism accounting for 90% of fungal nail infections?

Answer 1

Trichophyton rubrum

Question 2

Management of fungal nails?

Answer 2

Confirm diagnosis with scrapings/clippings firstly

Confirmed dermatophyte infection- oral terbinafine (or itroconazole)

Question 3

How long should finger/toenail infections be treated for?

Answer 3

6 weeks to 3 months for fingers; 3-6 months for toes

Question 4

Management of tinea capitis?

Answer 4

Oral antifungals e.g. terbinafine, griseofulvin with co-prescription of topical ketoconazole for 2 weeks

Question 5

Management of tinea corporis/pedis?

Answer 5

Topical antifungal e.g. terbinafine +/- mildly potent topical steroid
If extensive- oral antifungal e.g. fluconazole