A Case of Candida Balanitis Masquerading as Herpes Genitalis.
10.17966/KJMM.2017.22.4.167
- Author:
Yong Woo CHOI
1
;
Hyungrok KIM
;
Hyunjung KWON
;
Moon Hyung YOU
;
Jong Soo CHOI
;
Hyun CHUNG
;
Joonsoo PARK
Author Information
1. Department of Dermatology, School of Medicine, Catholic University of Daegu, Daegu, Korea. magincia@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Balanitis;
Candida balanitis;
Herpes genitalis;
Infectious balanitis
- MeSH:
Anti-Bacterial Agents;
Balanitis*;
Biopsy;
Candida albicans;
Candida*;
Diagnosis, Differential;
Herpes Genitalis*;
Humans;
Hyphae;
Male;
Middle Aged;
Penis;
Polymerase Chain Reaction;
Skin;
Spores;
Weights and Measures
- From:Korean Journal of Medical Mycology
2017;22(4):167-171
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 46-year-old male presented with skin lesion on the tip of penis, occurring a month ago. Erythematous macules and grouped vesicles on the glans penis and upper side of prepuce area were noticed. In addition, scales were noticed on the tip of glans penis. The lesion was first diagnosed as herpes genitalis based on the clinical manifestation, but had failed to improve with systemic and topical antiviral and topical antibiotics. KOH examinations were performed on his upper glans penis, and we detected pseudo hyphae and spores. Fungal culture and polymerase chain reaction (PCR) study were revealed as Candida albicans. He was successfully treated with topical isoconazole cream twice a day. Candida balanitis refers to candida infections of glans penis. Infectious balanitis presented various clinical presentations, it is not easy to diagnose with clinical presentation only. Therefore, it is essential to include other examination such as KOH examination, microorganism exam, and/or biopsy in the differential diagnosis when cutaneous lesions are noticed in patients. Herein, we present a candida balanitis with atypical features that clinically mimicked herpes genitalis.
