Chronic Mucocutaneous Candidiasis: A Case Report

Figures & data

Table 1 Blood Laboratory Examinations of the Patient for Diagnosis

Test Items	Results	Unit	Reference Intervals
White blood cell count	11.0	10^9/L	4.3–11.9
Neutrophil count	7.43	10^9/L	1.2–7.0
Eosinophil count	0.04	10^9/L	0.02–0.52
Lymphocyte count	3.2	10^9/L	1.8–6.3
Hemoglobin	121	g/L	115–150
Hypersensitive C-reactive protein	27	mg/L	0–10
Erythrocyte sedimentation rate	14	mm/h	0–15
Total lymphocyte count	1303	10^6/L	1200.0–3400.0
Total T lymphocytes CD3	1124	10^6/L	690.0–1760.0
Total B lymphocytes CD19	179	10^6/L	90.0–323.0
CD4/CD8 ratio	1.02		0.71–2.87
IgG level	10.23	g/L	7.23–16.85
IgM level	1.12	g/L	0.63–2.77
IgA level	4.02	g/L	0.69–3.82
C3	0.91	g/L	0.85–1.93
C4	0.24	g/L	0.12–0.36

Notes: The red fonts:Abnormal results.

Table 2 Blood Laboratory Examinations of the Patient for Diagnosis

Test Items	Results	Unit	Reference Intervals
Aspartate aminotransferase	8.0	7–40	U/L
Alanine aminotransferase	24.0	13–35	U/L
Urea	3.0	2.86–8.2	mmol/L
Creatinine	47	45–84	umol/L
Bloodglucose	4.4	3.9–6.1	mmol/L
Phos	1.5	1–1.6	mmol/L
Ca^+	1.81	2.04–2.71	mmol/L
Mg^+	0.97	0.7–1.1	mmol/L
Na^+	136	135–150	mmol/L
K^+	4.5	3.5–5.5	mmol/L
HCO3^−	22.9	20.5–28.5	mmol/L
Free triiodothyronine	4.52	3.1–6.8	pmol/L
Free thyroxin	20	11.97–21.88	pmol/L
Thyroid-stimulating hormone	4.04	0.27–4.2	uIU/mL
Parathormone	4.5	1–10	pmol/L

Notes: The red font:Abnormal result.

Figure 1 Clinical manifestations of CMC. (A) Facial lesions before treatment, with visible red plaques covered with thick brown scabs. (B) After 1 month of itraconazole treatment, the thick scabs had disappeared, and the plaque area was reduced and flattened.

Figure 2 Microbiological examination of CMC. (A) CHROMagar chromogenic medium showed green colonies, which were uplifted, moist, smooth, and pearly. (B) The drug sensitivity test identified sensitivity to itraconazole, nystatin, and 5-fluorocytosine and moderate sensitivity to terbinafine.