(Figure 4.28) - C. albicans common inhabitant of skin, GU, and GI tract
- Opportunistic organism, can become pathogen in skin, nails, and mucous membranes
- Frequently infects intertriginous areas
| | | | | | | | Thrush
(Moniliasis) | | Presents as gray-white plaques on mucous membranes with reddish macerated base and/or smooth-surfaced bright red tongue (atrophic papillae) | | | Vulvovaginitis | | Overgrowth of candida causes burning, itching, discharge; associated with diabetes mellitus, antibiotic use, pregnancy | | | Candidal intertrigo | | Pink to bright red moist patches, ± satellite papules/pustules in intertriginous areas (typically inframammary) | | | Candidal paronychia | | Redness, tenderness, edema of nailfold; associated with chronic exposure to moisture and irritants | | | | | | | | | | | | | | | | | | | | Of note, acute paronychia associated with bacteria, while chronic paronychia associated with yeast and irritation | | | | | | | | | | | | | | |
| | | Perleche
(Angular cheilitis) | | Transverse fissuring and maceration of oral commissures | | | Diaper candidiasis | | Erythematous patches in groin, ± satellite papules/pustules | | | Perineal candidiasis | | Perianal dermatitis with erythema, maceration, burning, and pruritus (due to mechanical chafing ± incontinence) | | | Erosio interdigitalis
blastomycetica | | Maceration between webspace of fingers (nearly always third web space), similar in toes but usually fourth webspace affected |
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| | Figure 4.28
Candidiasis
(Courtesy of Dr. Paul
Getz) |
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