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There is some controversy about the clinical classification of cutaneous candidiasis. Several clinical subtypes of this condition are generally accepted: erythema mycoticum infantile, candida intertrigo, erosio interdigitalis blastomycetica, perléche, oral thrush, vulvovaginal candidosis, candida balanitis, candida paronychia and chronic mucocutaneous candidiasis.
We report a case of cutaneous candidiasis on the right sole of a 52 year old woman who had a history of oral administration of antibiotics against cystitis for 2 weeks prior to her initial visit a month ago. Clinically, the lesion represented an asymptomatic vesicular eruption mimicking tinea pedis. A KOH examination of the lesion showed clusters of grape-like spores as well as mycelia. Mycological studies revealed colonies of Candida albicans serotype A. No dermatophyte was cultured. The lesions resolved in 3 weeks with treatment of topical terbinafin cream.
Several authors reported vesicular lesions of candidiasis on hands or fingers. However, to our knowledge, a foot manifestation of vesicular candidiasis resembling tinea pedis has not previously been reported.
