PDF(Pubmed)
Abstract：
The clinical manifestation of superficial candidiasis varies depending on the infectious sites and causative Candida species that brings a great challenge to diagnose or treat without mycological or pathological evidence in clinical settings. Oral mucosal candidiasis and onychomycosis are most common types of superficial candidiasis. Typically, oral mucosal candidiasis manifests as white or erythematous thrush coated on the tongue and other interior oral cavity; and onychomycosis caused by Candida spp. presents with thick, fragile, or cracked fingernails or toenails in yellow or white discoloration. Here, we report one case of patient with a black hairy tongue caused by Candida tropicalis and one case of greenish discolored onychomycosis caused by Candida parapsilosis. The cases of superficial candidiasis with the same discolored lesions were searched in literature and compared with our cases in clinical manifestation, causative pathogen and treatment. These cases highlight the importance of mycological diagnosis for identifying non-Candida albicans Candida species (NCAC) in superficial infections to guide an effective therapy.
摘要：
浅表念珠菌病的临床表现根据感染部位和致病念珠菌种类而变化，这给在临床环境中没有真菌学或病理学证据的情况下诊断或治疗带来了巨大挑战。口腔粘膜念珠菌病和甲癣是最常见的浅表念珠菌病。通常,口腔粘膜念珠菌病表现为涂在舌头和其他内部口腔上的白色或红斑鹅口疮；和由念珠菌引起的甲癣。厚厚的礼物，脆弱的,或黄色或白色变色的指甲或脚趾甲破裂。这里,我们报告了1例由热带念珠菌引起的黑毛舌和1例由近apsilia念珠菌引起的绿色变色甲癣。在文献中检索具有相同变色病变的浅表念珠菌病的病例，并与我们的病例进行临床表现比较。病原体和治疗。这些病例强调了真菌学诊断对于识别浅表感染中的非白色念珠菌念珠菌（NCAC）以指导有效治疗的重要性。
