Abstract
A 43-year-old man with folliculitis barbae candidomycetica who is a methamphetamine abuser is reported. After an operation of gastric perforation and the administration of several antibiotics, many pustules emerged primarily in his bearded and whiskered area. KOH-mount examination revealed many fungal elements in the extracted beards, and histopathological study revealed dense PMN infiltration and abscess formation around a destroyed hair follicle. PAS stain showed many fungal elements of spores and pseudohyphae in inner root sheath and hair cortex. In addition, endothrix Candida-growth was verified by PAP method using monoclonal and polyclonal anti-Candida antibodies. Candida albicans type A was isolated and identified from the beard. Clotrimazole application and griseofulvin medication were both ineffective, but the skin lesions were finally successfully treated with itraconazole medication.
