An 8-week-old infant presented with 7 weeks history of nail involvement and discoloration.
Lesions started over the middle fingernail of right hand at 1 week of age, spreading over to
other nails within 2 weeks. Only two nails of the feet were spared. On KOH examination,
fungal hyphae were seen and culture showed growth of
Trichophyton rubrum
. The purpose
is to report the earliest case of onychomycosis having multiple nail involvement of fingers
and toes (18 nails).