An Outbreak of Candida albicans Folliculitis Masquerading as Malassezia Folliculitis in a Prison Population

Sheila Jalalat, Lindsey Hunter, Mika Yamazaki, Elizabeth Head, Brent Kelly

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Several inmates from a non-air-conditioned prison were sent to the University of Texas Medical Branch dermatology clinic for unexplained eruptions not responding to various treatments. They were initially diagnosed with Malassezia folliculitis based on clinical examination and histological findings. The patients' cultures from skin scrapings, however, revealed Candida albicans confirmed by growth on Mycosel agar and further by the germ tube production method. Five cases were brought to the clinic, but at least 30 other inmates were reported to have similar cutaneous eruptions. Given that these patients were generally immunocompetent, this is a rare finding. Factors favoring pseudohyphal growth for these patients included use of topical steroids and/or systemic antibiotics and hot and humid climate. All patients' folliculitis resolved with fluconazole and/or antifungal cream with no further complications.

Original languageEnglish (US)
Pages (from-to)154-162
Number of pages9
JournalJournal of Correctional Health Care
Volume20
Issue number2
DOIs
StatePublished - Apr 2014

Keywords

  • Candida albicans
  • Malassezia
  • Pityrosporum
  • folliculitis
  • prison

ASJC Scopus subject areas

  • Community and Home Care
  • Public Health, Environmental and Occupational Health

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