What is wrong with Fred and how did he likely get it?

D. Fred presents with a 3-year history of pain and itching of the toes of both feet and of his left palm and fingers. Small red lesions are visible on the left fingers. He is in good health and training for college athletic teams in baseball, volleyball and swimming. During the 3 years, Fred has been using his medication sporadically and has now returned to the clinic since the condition is no longer responding to the current medication. Direct examination of palm skin scrapings with calcofluor reveals septate, nonpigmented hyphae, some coiled. A PDA culture of scrapings from Fred’s feet grew a white fungus with thin-walled macroconidia and numerous microconidia.

9. What is wrong with Fred and how did he likely get it?

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10. Describe the usual treatment for this condition? Why was it not working for Fred?

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