Penis & scrotum
Fungal infections

Topic Completed: 1 February 2010

Minor changes: 26 October 2020

Copyright: 2002-2021,, Inc.

PubMed Search: Fungal infections penis

Alcides Chaux, M.D.
Antonio L. Cubilla, M.D.
Page views in 2020: 756
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Cite this page: Chaux A, Cubilla AL. Fungal infections. website. Accessed April 15th, 2021.
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
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