[NP-Clinical] fungal culture

[stephanie2u at optonline.net]

Hi Priscilla,

I'm not Ted but--
Are you talking about a KOH slide or a fungal culture? I think of a fungal culture as a specimen (like toenail clippings) you send to a lab; it takes a few weeks for results and they normally identify what they find.
On a KOH slide you can see buds without hyphae sometimes if it's a yeast (candida etc.)

Stephanie Walker, FNP

----- Original Message -----
From: Priscilla Merrill 
Date: Thursday, May 10, 2007 6:24 am
Subject: RE: [NP-Clinical] help from derm experts
To: 'NP Clinical' 

> 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
> 
> 
> 
> _____ 
> 
> 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'tactually done a scraping but it looks very fungal. What 
> are your thoughts?
> 
> 
> 
> April Anthony CRNP
> 
> 
> 
> 
> 
> _____ 
> 
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