Clinical cases
TO BE OR NOT TO BE TINEA – MISDIAGNOSIS AND INAPPROPRIATE TREATMENT

We present a hallmark case of an overweight male patient with extensive tinea corporis and tinea cruris, as well as Majocchi’s granuloma, who was misdiagnosed for several years and therefore had received inappropriate treatment, leading to extension of lesions. The clinical diagnosis of tinea was confirmed by microscopic mycological examination, and the patient was also diagnosed with diabetes mellitus; therefore, the therapeutic management consisted of combination of systemic and topical antifungal treatment (itraconazole and terbinafine spray), with complete resolution of lesions within 5 weeks.We emphasize the importance of paraclinical tests for confirming the diagnosis before initiating treatment.