[NP-Clinical] help from derm experts

Priscilla Merrill prispunnyfnp at metrocast.net
Thu May 10 03:17:57 PDT 2007


Fungal culture query.  I did one the other day and it had many buds but no
hyphae.  Like the “meatballs without the spaghetti”

Can you give us some pearls (or meatballs, or buds?) on interpreting fungal
cultures.  I’ve been to microscopy for GYN but we never really did fungal
cultures in schools and have learned along the way but still don’t feel
totally competent.

Thanks, Ted!  We’re so lucky to have you on the listserve.

 

Priscilla Merrill FNP

 

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From: np-clinical-bounces at nurse.net [mailto:np-clinical-bounces at nurse.net]
On Behalf Of Theodore Scott
Sent: Wednesday, May 09, 2007 11:10 PM
To: 'NP Clinical'
Subject: RE: [NP-Clinical] help from derm experts

 

Fluconazole is OK, Itraconazole is a little better.  But before any oral
meds (usually expensive) please do a KOH prep.  Lots of conditions mimic
tinea.

 

Ted Scott NP-C

 

   _____  

From: np-clinical-bounces at nurse.net [mailto:np-clinical-bounces at nurse.net]
On Behalf Of April Anthony
Sent: Wednesday, May 09, 2007 3:28 PM
To: np-clinical at nurse.net
Subject: [NP-Clinical] help from derm experts

 

How do you treat tinea corporis with fluconazole? Or what is the best way to
treat? I have tried the topicals and it improves but returns. I haven't
actually done a scraping but it looks very fungal. What are your thoughts?

 

April Anthony CRNP

 

  

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