2020
DOI: 10.1007/s13555-020-00384-w
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Successful Treatment of Refractory Candidal Granuloma by Itraconazole and Terbinafine in Combination with Hyperthermia and Cryotherapy

Abstract: Candidal granuloma is a rare and refractory disease in clinical practice, usually reported in immunocompromised patients. We report a 57-year-old man who presented with candidal granuloma caused by Candida tropicalis. The diagnosis was confirmed according to histopathology and molecular identification. Prolonged duration of initial antifungal therapy did not obtain satisfactory improvement. Finally, the refractory disease was successfully treated by itraconazole and terbinafine in combination with hyperthermia… Show more

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Cited by 7 publications
(1 citation statement)
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“…Candida tropicalis has been widely researched and found to reside on mucosal membranes rather than skin, with strong opportunistic pathogenicity and a high proportion of fluconazole-resistant properties [ 7 , 20 , 21 ]. The endometrium is also at risk of Candida tropicalis infection during pregnancy, and the skin is susceptible to hypoimmunity [ 22 , 23 ]. Although M. globose is the most common fungus on human skin, it normally concentrates on the face and upper trunk due to its lipophilicity, and the hands play a core role in the process of fungal metastasis [ 8 ].…”
Section: Discussionmentioning
confidence: 99%
“…Candida tropicalis has been widely researched and found to reside on mucosal membranes rather than skin, with strong opportunistic pathogenicity and a high proportion of fluconazole-resistant properties [ 7 , 20 , 21 ]. The endometrium is also at risk of Candida tropicalis infection during pregnancy, and the skin is susceptible to hypoimmunity [ 22 , 23 ]. Although M. globose is the most common fungus on human skin, it normally concentrates on the face and upper trunk due to its lipophilicity, and the hands play a core role in the process of fungal metastasis [ 8 ].…”
Section: Discussionmentioning
confidence: 99%