Candidis Cutis

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Teaching Bangsal I

TEACHING BANGSAL 1CANDIDIASIS CUTISName : Mrs. SadraGender : FemaleAge : 28/01/1978 (37 year)Marital Status : MarriedReligion : MoeslemAddress : EnrekangOccupation : HouswifeRegistered : 12 February 2015

PATIENTS IDENTITYAnamnesis: (Autoanamnesis)Chief complaint: pruritus and hot sensation on her back Further Anamnesis : Occur since one month ago. Initialy red filled fluid, just as the size of a pin, and chipped. Initialy on the right back and spread across the back, the patient usually use baby oil for her back but it feels hotter than before. She had history of smallpox in 2014- 12 January 2015. She took medicine (she didnt the name of drugs) and cured. There is no history of allergy. Patient treated in hospital with multiple myeloma.

HISTORY TAKING3Patient had the same complaint before : -Family History : -Treatment history: ChemotherapyLifestyle: smoking (-) alcohol (-) exercise (-),Allergic: -Systemic disease: Multiple Myeloma, Bronchitis, Candidiasis oral, Hypertansion, Anemia, HypocalemiaGeneral condition: severeConsciousness: compos mentisVital signBP : 160/100 mmHgPulse : 86x/minute,regulerBreathing : 24x/minuteTemperature: 36,8 oCSTATUS PRESENTHead Examination: icteric (-) Anemic (+) cyanosis (-)Cor / Pulmo: Normal/NormalThorax: Symetrical Rh (+)/Wh (-)Abdomen: Normal, Peristaltic (+)Extremities: Symmetric pretibial edema, pitting ( - )Localization: Regio truncus posteriorDermatology StatusLocation : Regio trunchus posteriorEfflorescence : erythematous macula, satellite lesion (+), hyperpigmentation macula

Additional ExaminationRadiology : salt and papper and punched out lesionSGOT : 18 U/L ; SGPT : 9 U/LHb : 8,3 gr/dLKalium : 2,4 mmol/L

Patient 37 y.o registered on 12 February 2015 with chief complaint is pruritus and hot sensation on her back since one month ago. erythematous macula (+) swelling (-) pain (-) fever (-). There is a history of varicella on the end of December 2014 until January 2015 but already cured. There is no history of allergy.Vital sign : BP: 160/100 mmHg; Pulse: 86x/min; Breath: 24x/min; Temperature : 36,8C Dermatovenereoloy status : Location : Regio truncus posteriorEfflorescence : erythematous macula, satellite lesion (+), hyperpigmentation macula

RESUMEDIAGNOSISCandidiasis cutis

DIFFERENTIAL DIAGNOSISErhytrasmaIrritant Contact DermatitisPityriasis Rosea

MANAGEMENTKetoconazole 200 mg oral tablet/24 hoursCefixime 10 mg oral tablet/24 hoursMiconazole cream (Morning and afternoon applied in lesions)PROGNOSISDubia

11cutis candidiasis is a fungal infection of the skin caused by fungi of the genus CandidaETIOLOGIESThe most common cause is Candida albicans. Other pathogenic species is C. tropicalis C. parapsilosis,C. GuilliermondiiC. krusei,C. pseudotropicalis, C. lusitaneae.DISCUSSIONRisk Factors

1. Infants, pregnant women, and elderly2. Constraints on the surface of the epithelium; as dentures, clothing3. Impaired immune functiona. primary; Chronic granulomatous diseaseb. secondary; leukemia, corticosteroid therapy4. Chemotherapya. immunosuppressiveb. antibiotics5. Endocrine Diseases; diabetes mellitus6. carcinoma Patients with immunocompromise and immunocompetent can get this infection Candida albicans yeast-like fungi form and several other Candida species have the ability to infect the skin, mucous membranes, and organs in our body. For the treatment can give nystatin topical treatment and imidazole cream. And also miconazole powder for prevention. The prognosis can be improved if the predisposing factors can be eliminated or reduced, and patients using the drug in accordance with the proper advice.Thank You ^_^T15