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Pathology for Urologists

Candidiasis


Image A
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Image B
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  • Agent: Candida albicans.
  • Appearance: branching hyphae.
  • Clinical: most commonly found in uncircumcised males; can cause balanitis or balanoposthitis characterized by bright red patches of inflammation with numerous minute pustules and erosions.
  • Predisposing features: diabetes mellitus, antibiotic treatment, and immunosuppression.
  • Histologic features:
    • Branching hyphae on H&E or on PAS stain (image A) & (image B).
    • KOH prep should confirm the diagnosis in a clinical setting.
  • Treatment: antifungal agents

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