QuestionSBA
QuestionChoice
Itraconazole is an alternative treatment for dermatophyte infections. However, it is typically given orally, not topically.
10003603
c
Topical itraconazole
QuestionChoice
This patient has a fungal nail infection which can be treated with antifungal medication. Oral terbinafine is first line in the treatment of confirmed dermatophyte nail infections.
10003601
a
Oral terbinafine
QuestionChoice
Topical nystatin can also be used to treat fungal nail infections, however, it is not used as a first-line treatment.
10003604
d
Topical nystatin
QuestionChoice
Topical treatment with voriconazole can be considered if the infection involves just the tip of the toenail, but this patient's infection is quite widespread.
10003605
e
Topical voriconazole
QuestionChoice
Intravenous infusions of amphotericin B are used as empirical treatment for potentially life-threatening fungal infections, such as aspergillosis or cryptococcosis.
10003602
b
Intravenous amphotericin B
Concept
Chapter
2693
4182
Fungal infection
Topic
144
Dermatology
13267
A 69-year-old man presents to his GP as he is unhappy with how his toenails are growing. He is a known diabetic.

On examination, his toe web spaces are macerated. His GP notices that several of his toenails have white and yellow opaque streaks and that the end of some of his toenails have lifted up. Yellow spots are also evident in the lanula.

Microscopy and culture of nail clippings show trichophyton tonsurans.

What is the most appropriate treatment for this gentleman's condition?
a