Cutaneous candidiasis caused by Candida kefyr

Pan Afr Med J. 2021 Feb 16:38:178. doi: 10.11604/pamj.2021.38.178.28054. eCollection 2021.

Abstract

Candidiasis is an acute or subacute fungal infection caused by fungi that belongs to candida genus, with Candida albicansbeing the most frequent causative agent. Candida kefyr is a rare cause of candidiasis which has been reported in systemic candidiasis and deep infections. However, to date, it has never been reported as a cause in dermatophytosis. We report a case of candidiasis caused by Candida kefyr in a 72-year-old woman with a chief complaint of pruritic erythematous rash on the back from one day prior to admission. Diagnosis was established based on clinical features, direct microscopic examination with 10% potassium hydroxide solution, gram staining. The fungal species was determined by carbohydrate fermentation test which showed a positive result for Candida kefyr. The patient was treated with miconazole cream and fusidic cream and showed significant clinical improvement.

Keywords: Candida kefyr; cutaneous candidiasis; fermentation test.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antifungal Agents / administration & dosage*
  • Candidiasis, Cutaneous / diagnosis*
  • Candidiasis, Cutaneous / drug therapy
  • Candidiasis, Cutaneous / microbiology
  • Erythema / microbiology
  • Female
  • Fusidic Acid / administration & dosage
  • Humans
  • Kluyveromyces / isolation & purification*
  • Miconazole / administration & dosage
  • Pruritus / microbiology
  • Treatment Outcome

Substances

  • Antifungal Agents
  • Fusidic Acid
  • Miconazole

Supplementary concepts

  • Kluyveromyces marxianus