title: Cutaneous candidiasis caused by Candida glabrata in a HIV/AIDS patient.
abstract: Cutaneous Candida infections may occur in patients with HIV/AIDS, cancer, receiving chemotherapy and solid organ transplantation. A 32-year-old woman was admitted to the department suffering from pruritic and erythematous plaque on left side of her face for the past two months. The patient was HIV positive, diagnosed five years previously, and had been on antiretroviral therapy (tenofovir/emtricitabine and lopinavir/ritonavir) for a year. She was not compliant with the medication. Elevated HIV RNA load and decreased CD4+ lymphocyte count were observed. Fungal elements were detected from the skin scraping sample taken from the facial plaque. Fluconazole-sensitive Candida glabrata was isolated from this sample. Topical clotrimazole ointment and systemic fluconazole 400 mg/day were used. After systemic fluconazole therapy was continued for two months, the plaque was cured. C. glabrata rarely causes cutaneous infection without involving the mucous membranes. Presentation of cutaneous fungal infections in HIV patients with decreased CD4+ T lymphocyte counts can be atypical and require extensive antifungal treatment.
authors: Department of Infectious Diseases, Erciyes University, Kayseri, Turkey.
authors: Hayati
authors: H
authors: Demiraslan
authors: Selma
authors: S
authors: Alabay
authors: Aysegul Ulu
authors: AU
authors: Kilic
authors: Murat
authors: M
authors: Borlu
authors: Mehmet
authors: M
authors: Doganay
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000188:drug therapy / Q000382:microbiology; D000328:Adult; D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use*; D018791:CD4 Lymphocyte Count; D041221:Candida glabrata / Q000302:isolation & purification*; D002179:Candidiasis, Cutaneous / Q000175:diagnosis / Q000188:drug therapy*; D005260:Female; D015725:Fluconazole / Q000627:therapeutic use*; D015658:HIV Infections / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D016896:Treatment Outcome; D019562:Viral Load
chemical_list: D044966:Anti-Retroviral Agents; D000935:Antifungal Agents; D015725:Fluconazole
keywords: Candida glabrata; HIV/AIDS; cutaneous infection; treatment