What causes ringworm infection?

Question

Hello doctor,

One year back, I suffered from ringworm on the jock and legs. I applied Dermikem OC (Clobetasol, Ofloxacin, Ornidazole and terbinafine) and it helped. After one year, it appeared again on the same spot. I used the same ointment, but it did not help. It started as a very small circle, and after that, it became very big. I then used Clotrimazole ointment and Fluconazole tablets. For a few days it was fine, and then after stopping it, it came back, this time on the face too. Please suggest me a solution for this problem. I do not have any other health issues.

Answer 1

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

From your description, it appears to be tinea cruris, a fungal infection that increases with sweating. You will need to take oral medication as well as apply creams topically. For topical application, I suggest:

Luliconazole 1 % cream once daily.
Miconazole 2 % cream once daily.

The oral medications can be decided depending on the extent of involvement. You will have to send me a picture to enable me to decide. Wash your clothes separately. If not, it can spread to your family members. Keep the area dry.

Thank you for consulting me.

You can always reach me at icliniq.com.

Answer 2

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

I have seen the picture (attachment removed to protect patient identity).

What you have is tinea corporis, a type of ringworm infection. I suggest taking a capsule Syntran (Itraconazole) 100 mg, twice daily, after meals, for two weeks. Revert back after two weeks, so that the medications can be tapered. You need to apply both the creams mentioned in the previous message for two months. Sweating and constant moisture leads to fungal infection. Keep the area dry and maintain personal hygiene.

Looking forward to your response in order to help you.

Thank you.