Itching, scaling, and ery...

A 29-year-old housewife with a six-month history of itching, scaling, and erythematous patches on her right foot were referred to the dermatologist. As shown in the figure, her spreading lesions appeared pruritic and inflamed on the edges, especially those on the right and left areas of her feet. Treatment with unspecific topical agents was unsuccessful.Cutaneous samples were gathered by gently scraping the active borders of the lesions. Direct microscopic examination showed radiating fissures extending from the centre. In addition, the colonies revealed mycelium with septate hyphae, arthroconidia, and budding cells. Based on the observed colonies, a strain of Trichosporon species was likely to be the causative agent of this infection. 
Medication was immediately started according to the morphological results (Day 5). Fluconazole was prescribed in an oral dosage of 150 mg daily for four weeks. Along with oral treatment, topical miconazole nitrate was applied twice daily.