HomeAnswersDermatologyfungal infectionWhy does fungal infection keep coming back?

Kindly suggest a medicine to manage fungal infection on the wrist.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At June 4, 2017
Reviewed AtOctober 13, 2023

Patient's Query

Hello doctor,

I am suffering for the past two months supposedly some fungal infection on the wrist of my right hand. It is circular and expands into a ring red in color. I have been using Candid B cream but as it goes away it comes back again and increases in size. When it expands, white pus-like small things form, and on applying the cream for 2 to 3 days goes away but again surrounding area gets these small pus-like things and so the ring expands. It has left a white patch in the center and a red ring at the sides. It burns in hot but feels good in cold air. Is there a medicine that I can take?

Hi,

Welcome to icliniq.com.

Your history is strongly in favor of tinea corporis. Tinea Corporis is a fungal infection, usually a consequence of excessive sweating, occlusion, and friction. If not treated correctly, it tends to keep recurring. Candid B is a combination of an antifungal with steroid and such combinations have recently been banned too. The steroid in the composition tends to only suppress but not cure the infection. In addition, it adds to the resistance, hence further delaying the response when treated correctly. Kindly upload appropriate images to confirm the diagnosis, stop Candid B immediately, let us know all the sites which are affected (groins, axilla, etc.) and mention if you are a diabetic.

Treatment plan

Tablet Levocet 5 mg once daily at nite for two weeks for itching.

Preventive measures

Stop Candid B.

Patient's Query

Thank you doctor,

Other sites affected are the groin and toe of my right foot. The groin is badly affected and turned dark brown and has lots of itching and skin falls in the form of flakes. The skin also produces transparent liquid when rubbed after intense itching and the back of the hips are also affected in large areas. Please suggest medication. The toe also has itching just near the nail and also turned brown, flakes come out and after intense itching, it cuts, and transparent liquid comes out. Please suggest medication.

Hi,

Welcome back to icliniq.com.

It appears that the fungal infection has progressed quite a bit. You strictly need to adhere to the course being prescribed to have complete resolution. In view of the history of use of steroids, you may take a little longer for complete clearance.

Treatment plan

1. Tablet Terbinafine (Zimig) 250 mg, once daily after dinner, for two weeks. 2. Tablet Levocetirizine (Levocet) 5 mg, once daily after dinner, for two weeks. 3. Keto (Ketoconazole) or Novale soap for bath, twice daily without fail. 4. Onabet cream (Sertaconazole), for local application over the affected areas, twice daily after bath for two weeks.

Preventive measures

Avoid activities with excessive sweating, prefer cotton clothing, take bath twice daily, prefer to change underwears to boxers.

Regarding follow up

Make sure you take Zimig itself and not other similar brands, and review after two weeks.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Rakesh Kumar Bahunuthula
Dr. Rakesh Kumar Bahunuthula

Dermatology

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