Volume 3, Issue 6, Pages (November 2017)

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Volume 3, Issue 6, Pages 553-555 (November 2017) Massive perianal ulceration: Entamoeba histolytica and Candida albicans co-infection  Michael J. Davis, BMus, Stephen F. Templeton, MD, FAAD, David L. Dickensheets, MD, Alexander S. Gross, MD  JAAD Case Reports  Volume 3, Issue 6, Pages 553-555 (November 2017) DOI: 10.1016/j.jdcr.2017.07.020 Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Indurated erythema surrounds a rapidly expanding, deeply necrotic perianal ulceration. JAAD Case Reports 2017 3, 553-555DOI: (10.1016/j.jdcr.2017.07.020) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Several round organisms with pale foamy, basophilic cytoplasm and a solitary nucleus characteristic of amoebic trophozoites are visible within a brisk inflammatory infiltrate and surrounding necrotic debris. (Hematoxylin-eosin stain; original magnification: ×400.) JAAD Case Reports 2017 3, 553-555DOI: (10.1016/j.jdcr.2017.07.020) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 PAS stain highlights the large unicellular protozoa within necrotic tissue. (Original magnification: ×400.) JAAD Case Reports 2017 3, 553-555DOI: (10.1016/j.jdcr.2017.07.020) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 4 PAS stain shows a dense collection of spores, budding yeast, and pseudohyphae, characteristic of invasive candidiasis. (Original magnification: ×100.) JAAD Case Reports 2017 3, 553-555DOI: (10.1016/j.jdcr.2017.07.020) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions