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Microbiology · Mycology
Sample itemA young adult has hypopigmented scaly patches on the trunk. KOH mount shows short curved hyphae with clusters of round yeasts. What is the causative organism?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Malassezia furfur
Pityriasis versicolor is caused by the lipophilic yeast Malassezia furfur. Microscopy shows the spaghetti and meatballs appearance of short hyphae and round yeasts, and lesions fluoresce under Wood's lamp.
Option by option
A. Candida albicans
Candida shows budding yeasts with pseudohyphae and causes erythematous moist lesions.
B. Trichophyton rubrum
Trichophyton shows only branching septate hyphae without budding yeast cells.
C. Malassezia furfur (correct)
The mixture of short hyphae and round yeast cells is typical of this organism.
D. Sporothrix schenckii
Sporothrix causes subcutaneous nodules along lymphatics with cigar-shaped yeasts.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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