Non-Dermatophyte as Pathogens of Onychomycosis among Elderly Diabetic Patients

Aging is one of the predisposing conditions to develop mycotic nails [1-3], those often present chronic health problems such as diabetes peripheral circulation In fact in the elderly [3,4], the normal structure of the nail is altered producing changes in the color, thickness, flexibility, and shape resulting in some cases to marked dystrophic disturbances, mainly on the toenails. Since most of the functions of the nails are lost, the nail is increasingly exposed to trauma [3,5] and consequently to bacterial and fungal infections. Besides the effects on patient’s emotional, social, and occupational functioning [6,7] untreated onychomycosis of the toenail can lead to patients experiencing physical impairment and pain [8,9] to secondary bacterial infections and cellulites [10]. So antifungal treatment should be exclusively reserved for those with a proved fungal infection [11].