case_images: PMC8077640_01
case_images: PMC8077640_02
case_images: first day, hyperpigmentation macules accompanied by crusting, squama, and macular erythema in the posterior trunk area
case_images: PAMJ-38-178-g001.jpg
case_images: PMC8077640_02_PAMJ-38-178-g001.jpg
case_images: F1
case_images: Dermatological examination of the posterior trunk region found hyperpigmented macules accompanied by crust, squama and erythematous macules (Figure 1).
case_images: examination of 10% KOH showing clustered spores and pseudo hyphae
case_images: PAMJ-38-178-g002.jpg
case_images: PMC8077640_02_PAMJ-38-178-g002.jpg
case_images: F2
case_images: Direct microscopic of the skin scrapings on the back using 10% KOH showed clustered spores and pseudohyphae (Figure 2).
case_images: macroscopic culture in Sabouraud's Dextrose Agar (SDA) media showing mucoid brownish white colonies with a smooth surface
case_images: PAMJ-38-178-g003.jpg
case_images: PMC8077640_02_PAMJ-38-178-g003.jpg
case_images: F3
case_images: 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.
case_images: A) gram staining showed purple-colored fungal colony, yeast cells and budding spores; B) LCB (lactofenol cotton blue) staining showed positive results for candida
case_images: PAMJ-38-178-g004.jpg
case_images: PMC8077640_02_PAMJ-38-178-g004.jpg
case_images: F4
case_images: One week later, gram staining was carried out and positive purple color mildews were obtained (Figure 4).
case_images: carbohydrate fermentation test resulted in a change in colour from purple to orange in glucose, sucrose, and lactose, and gas formation
case_images: PAMJ-38-178-g005.jpg
case_images: PMC8077640_02_PAMJ-38-178-g005.jpg
case_images: F5
case_images: 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).
case_images: dermatologic examination on the fifth day showed the lesions on the posterior trunk had dried out
case_images: PAMJ-38-178-g006.jpg
case_images: PMC8077640_02_PAMJ-38-178-g006.jpg
case_images: F6
case_images: On the fifth day of treatment the lesion showed marked improvement (Figure 6).