PMC8077640_01
PMC8077640_02
first day, hyperpigmentation macules accompanied by crusting, squama, and macular erythema in the posterior trunk area
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F1
Dermatological examination of the posterior trunk region found hyperpigmented macules accompanied by crust, squama and erythematous macules (Figure 1).
examination of 10% KOH showing clustered spores and pseudo hyphae
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F2
Direct microscopic of the skin scrapings on the back using 10% KOH showed clustered spores and pseudohyphae (Figure 2).
macroscopic culture in Sabouraud's Dextrose Agar (SDA) media showing mucoid brownish white colonies with a smooth surface
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F3
Culture in Sabouraud Dextrose Agar (SDA) media added with chloramphenicol incubated at 25 -30 C showed mucoid brownish white colonies with smooth surfaces on the third day (Figure 3), typical of the fungus Candida sp.
A) gram staining showed purple-colored fungal colony, yeast cells and budding spores; B) LCB (lactofenol cotton blue) staining showed positive results for candida
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F4
One week later, gram staining was carried out and positive purple color mildews were obtained (Figure 4).
carbohydrate fermentation test resulted in a change in colour from purple to orange in glucose, sucrose, and lactose, and gas formation
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F5
Further examination was carried out using carbohydrate fermentation to determine the type of candida which showed a change in color from purple to orange in glucose, sucrose, and lactose and gas formed in each of the reagents (Figure 5).
dermatologic examination on the fifth day showed the lesions on the posterior trunk had dried out
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F6
On the fifth day of treatment the lesion showed marked improvement (Figure 6).