Case 139. Panel: Candida and related fungi in vagina and urine
         
   
Candida albicans, Torulopsis glabrata, Trichosporon beigelii
   
         
   
Key words : 
Candida albicans, Torulopsis glabrata, Trichosporon beigelii, vaginitis, cystitis    
         
   
sexually transmitted infection
   
     
 
     
Panel 1: Candida albicans in vaginal smear
Candida albicans (Papanicolaou). A chain of pseudohyphae with focal vacuolation and orange-tinted appearance are characteristic of C. albicans.
  Panel 2: Torulopsis glabrata in vaginal smear
Torulopsis glabrata (Papanicolaou). A pair of capsule-forming yeasts (blastospores) stained yellowish orange are seen in the mildly inflamed background. Doederlein bacilli are retained, so that they represent a normal flora. This has been called Candida glabrata.
     
 
     
Panel 3: Candida albicans in urine
Candida albicans (Papanicolaou). Yeast form blastospores of C. albicans are seen here. The presence of the nucleus is evident.
  Panel 4: Trichosporon beigelii in urine
Trichosporon beigelii (PAS). Hyphae of Trichosporon beigelii are morphologically quite similar to Candida albicans. Uneven PAS reactivity of T. beigelii gives a differential point from C. albicans.