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KMID : 0363220170550070449
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Korean Journal of Dermatology
2017 Volume.55 No. 7 p.449 ~ p.453
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Candida famata Infection Presenting as an Erosive Patch on the Sole of an Immunocompetent Patient
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Park Byeong-Jin
Choi Hyun-Seok
Park Hyung-Kwon
Kim Young-Gyun
Kim Joung-Soo
Yu Hee-Joon
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Abstract
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Candida famata previously called Torulopsis famata or Debaryomyces hansenii, is usually found in natural substrates. It was earlier considered nonpathogenic in humans; however, a number of clinical cases of human infection have been reported showing isolation of this yeast. Dermatologic literature contains only a few reports regarding cutaneous infection caused by Candida famata. An 18-year old woman presented with a 4-month history of a 4.0×3.0 cm sized erythematous erosive patch on her left sole. A skin biopsy revealed numerous spores and hyphae in the epidermis. Histopathological specimens showed positive findings using the Periodic acid-Schiff and Gomori methenamine silver stains but negative findings using acid-fast bacilli stain. Cultures from skin scrapings yielded numerous colonies. Identification of the fungus was processed up to species level using VITEK 2 (bioMerieux, Inc. Hazelwood, MO, USA), and Candida famata was isolated. She was administered itraconazole at a dose of 200 mg once daily, and following 5 weeks of therapy, the erosive lesion was noted to have completely healed with postinflammatory hyperpigmentation
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KEYWORD
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Candida famata, Cutaneous candidiasis
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