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Subcutaneous Candidal Abscess in the Patient with Iatrogenic Cushing Syndrome

June-Ho Won,Sook Jung Yun,Jee-Bum Lee,Seong-Jin Kim,Seung-Chul Lee,Young Ho Won
Epub 2016 February 18

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Abstract



Candida albicans is a dimorphic yeast which is responsible for 70 percent to 80 percent of all candidial infection, and is the most common cause of superficial and systemic candidiasis. Invasive candidiasis occurs under certain circumstances such as immunosuppression, prolonged hospitalization, and previous antibiotics use. We report a case of candidiasis with a unusual presentation of subcutaneous abscess. A 54 year-old woman came to our clinic with painful erythematous swelling plaques and nodules on the face and arms. She was hospitalized with generalized edema and weakness of both leg. She had a history of herbal medication for 1 year and was finally diagnosed with iatrogenic Cushing syndrome in department of the endocrinology. Biopsy of the lesion revealed chronic inflammation in dermis and subcutis and budding yeasts with pseudohyphae were shown in Gomoris Methenamine silver stain. And Candida albicans was identified by fungus culture.



Keywords


Candidiasis Abscess Iatrogenic Cushing syndrome




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