Penis and scrotum
Infectious disorders
Fungal infections

Authors: Antonio Cubilla, M.D., Alcides Chaux, M.D. (see Authors page)

Revised: 28 March 2018, last major update February 2010

Copyright: (c) 2002-2018, PathologyOutlines.com, Inc.

PubMed Search: Fungal infections penis

Cite this page: Cubilla, A., Chaux, A. Fungal infections. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/penscrotumfungal.html. Accessed September 22nd, 2018.
Clinical features

Either superficial or deep:
  • Superficial: usually Candida albicans or dermatophytes (spores often in keratinized epithelium), often spreads locally from groin
  • Deep: rare, usually spreads to penis from other sites via blood

Candida albicans:
  • Usually sexually transmitted, 15% of men are asymptomatic carriers and may reinfect women
  • Patients are usually symptomatic if > 10 colonies are grown from culture (J Eur Acad Dermatol Venereol 2010;24:820)
  • Direct impression of glans on CHROMagar Candida medium is more sensitive than cotton swab of genital exudate but still only 18% sensitive (Sex Transm Infect 2010;86:32)
Microscopic (histologic) description
  • In superficial infections, causative agent identifiable in keratinized, often parakeratotic, superficial epithelium
  • Histochemical stains (PAS, GMS) are useful for highlighting the microorganism