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Subjects/Microbiology/Dermatophytes
Dermatophytes
medium
bug Microbiology

A 35-year-old male presents with an itchy, erythematous, and scaling rash in his groin area. A KOH mount of skin scrapings from the lesion shows hyaline, septate hyphae and arthroconidia. This microscopic finding is most consistent with an infection caused by:

A. A. A dermatophyte
B. B. Sporothrix schenckii
C. C. Cryptococcus neoformans
D. D. Aspergillus fumigatus

Explanation

The presence of hyaline, septate hyphae and arthroconidia in a KOH mount of skin scrapings is the classic microscopic finding for a dermatophyte infection (e.g., tinea cruris in the groin area). Sporothrix schenckii is a dimorphic fungus causing sporotrichosis, typically seen as cigar-shaped yeasts in tissue or septate hyphae with conidia in culture, but not arthroconidia in skin scrapings. Cryptococcus neoformans is a yeast with a capsule, causing cryptococcosis, and would appear as budding yeasts. Aspergillus fumigatus is a mold that causes aspergillosis, typically showing septate hyphae with acute angle branching, but not arthroconidia in skin scrapings from a superficial infection.

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