Facial Erythema Due to Lupus Vulgaris and Candida albicans Infections: A Case Report

Tianping Xue,1 Zhenzhong Lu,1 Wenyue Zhang,2 Zhenzhen Wang,2 Ying Shi,2 Haiqin Jiang,2 Hongsheng Wang2,3 1Department of Dermatology, Suzhou Wuzhong People’s Hospital, Suzhou, Jiangsu, People’s Republic of China; 2Jiangsu Key Laboratory of Molecular Biology for Skin Diseases and STIs, Institute of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing, People’s Republic of China; 3Centre for Global Health, School of Public Health, Nanjing Medical University, Nanjing, People’s Republic of ChinaCorrespondence: Hongsheng Wang, Jiangsu Key Laboratory of Molecular Biology for Skin Diseases and STIs, Institute of Dermatology, Chinese Academy of Medical Sciences and Peking Union Medical College, 12 JangWangmiao Street Xuanwu District, Nanjing, Jiangsu Province, People’s Republic of China, Tel +86-13002571330 ; +86-25-85478953, Email whs33@vip.sina.comAbstract: Co-infection of Mycobacterium tuberculosis (MTB) and Candida albicans with erythema on the face is rare. A familiar red spot on the face can easily lead to missed diagnosis and misdiagnosis. Untreated lupus vulgaris (LV) can form scar tissue. And the fungal infection that cannot be diagnosed and treated timely can also lead to failure of LV treatment, resulting in facial scarring, disfigurement, and psychological stress. In this study, we reported a case of a 58-year-old immunocompetent female co-infected with MTB and Candida albicans on her face. After anti-tuberculous and anti-fungal therapy, she recovered with no scar on her face.Keywords: lupus vulgaris, Candida albicans, facial erythema