Candidiasis

QUESTION 68

A 78-year-old man with a history of prostate cancer and osteoarthritis presents with a 3-month history of a burning, tender rash in the groin. He reports that it worsened over the last several months after he suffered a fall and was immobilized in bed for several weeks. He has tried to treat the area with numerous over-the-counter antifungals, which helps reduce the rash slightly for short periods of time, but it recurs. On examination, there is an erythematous, macerated, eroded plaque in the inguinal folds extending to the scrotum and the medial thigh with surrounding scattered satellite papules and pustules (68).