CANDIDIASIS CUTIS

TEACHING BANGSAL 1

PATIENTS IDENTITY
Name

: Mrs. Sadra
Gender
: Female
Age
: 28/01/1978 (37 year)
Marital Status
: Married
Religion
: Moeslem
Address
: Enrekang
Occupation
: Houswife
Registered
: 12 February 2015

HISTORY TAKING
Anamnesis
: (Autoanamnesis)
Chief complaint
: pruritus and hot sensation on
her back
Further Anamnesis : Occur since one month ago.
Initialy red filled fluid, just as the size of a pin, and
chipped. Initialy on the right back and spread across
the back, the patient usually use baby oil for her back
but it feels hotter than before. She had history of
smallpox in 2014- 12 January 2015. She took medicine
(she didnt the name of drugs) and cured. There is no
history of allergy. Patient treated in hospital with
multiple myeloma.

 Patient

had the same complaint before : Family History : Treatment history : Chemotherapy
Lifestyle
: smoking (-)
alcohol (-)
exercise (-),
Allergic
: Systemic disease : Multiple Myeloma,
Bronchitis, Candidiasis oral, Hypertansion,
Anemia, Hypocalemia

STATUS PRESENT
General

condition : severe
Consciousness : compos mentis
Vital sign
BP
: 160/100 mmHg
Pulse
: 86x/minute,reguler
Breathing
: 24x/minute
Temperature : 36,8 oC

 Head

Examination : icteric (-)

Anemic (+)
cyanosis (-)
Cor / Pulmo
: Normal/Normal
Thorax
: Symetrical Rh (+)/Wh (-)
Abdomen
: Normal, Peristaltic (+)
Extremities
: Symmetric pretibial edema,
pitting ( - )
Localization
: Regio truncus posterior

 Dermatology

Status
Location
: Regio trunchus posterior
Efflorescence : erythematous macula, satellite
lesion (+), hyperpigmentation macula

o
o
o
o

Additional Examination
Radiology : salt and papper and punched out lesion
SGOT : 18 U/L ; SGPT : 9 U/L
Hb : 8,3 gr/dL
Kalium : 2,4 mmol/L

RESUME

Patient 37 y.o registered on 12 February 2015 with

chief complaint is pruritus and hot sensation on her
back since one month ago. erythematous macula (+)
swelling (-) pain (-) fever (-). There is a history of
varicella on the end of December 2014 until January
2015 but already cured. There is no history of allergy.
Vital sign : BP: 160/100 mmHg; Pulse: 86x/min;
Breath: 24x/min; Temperature : 36,8C
Dermatovenereoloy status :
Location
: Regio truncus posterior
Efflorescence : erythematous macula, satellite
lesion (+), hyperpigmentation macula

DIAGNOSIS
Candidiasis cutis

DIFFERENTIAL DIAGNOSIS
Erhytrasma
Irritant

Contact Dermatitis
Pityriasis Rosea

MANAGEMENT
o Ketoconazole

200 mg oral tablet/24 hours

o Cefixime 10 mg oral tablet/24 hours
o Miconazole cream (Morning and afternoon applied in
lesions)

PROGNOSIS
Dubia

DISCUSSION
cutis

candidiasis is a fungal infection of the skin

caused by fungi of the genus Candida

ETIOLOGIES
The most common cause is Candida albicans.
Other pathogenic species is
C. tropicalis
C. parapsilosis,
C. Guilliermondii
C. krusei,
C. pseudotropicalis,
C. lusitaneae.

Risk Factors
1. Infants, pregnant women, and elderly
2. Constraints on the surface of the epithelium; as
dentures, clothing
3. Impaired immune function
a. primary; Chronic granulomatous disease
b. secondary; leukemia, corticosteroid therapy
4. Chemotherapy
a. immunosuppressive
b. antibiotics
5. Endocrine Diseases; diabetes mellitus
6. carcinoma


Patients
with
immunocompromise
and
immunocompetent can get this infection
Candida albicans yeast-like fungi form and
several other Candida species have the ability to
infect the skin, mucous membranes, and organs in
our body.
For the treatment can give nystatin topical
treatment and imidazole cream. And also
miconazole powder for prevention.
The prognosis can be improved if the
predisposing factors can be eliminated or reduced,
and patients using the drug in accordance with
the proper advice.

Thank You ^_^