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Q. Is there any permanent cure for recurring skin infections?

Answered by
Dr. Rakesh Kumar Bahunuthula
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 24, 2016 and last reviewed on: Feb 08, 2021

Hello doctor,

I have a chronic problem for the past six to seven years. I have the problem itching in all the skin folds and the pressed areas like under the belt including genital areas and anus. I showed the same to a doctor and he diagnosed this as eczema and fungal infection. The doctor prescribed some Tablet AF-300 or AF-150 for a few days and also the creams like Ebernet for the night usage and Sofradex-F for morning application on the affected areas. I continued the same for around a month, which cured the problem at that moment. But, this problem is recurring again and again and not getting cured permanently. Whenever I face the issue I use the above topical creams for a few days and it cures the problem temporarily to recur again after a few days. I also have a morning cough issue for many years. Can you please guide me for a permanent cure of these problems? I am currently using Onabet cream for the last seven days both in the morning and in the evening.

#

Hi,

Welcome to icliniq.com.

  • Your history, past treatment and its response are suggestive of intertrigo, a fungal infection of the body folds.
  • In people with heavy sweating activities, diabetes, overweight, those wearing tight clothing and in people with prolonged sitting activities the body folds are the sites for the collection of sweat. As a consequence, the skin in these places gets macerated and acts a good base for fungal growth.
  • The problem will keep on recurring if not taken care of the above risk factors.
  • Medicines like Onabet cream (Sertaconazole), Ebernet (Eberconazole) and AF (Fluconazole) are all effective for the same.

Investigations to be done:

Fasting and postprandial blood sugar.

Differential diagnosis:

1. Intertrigo.
2. Tinea (ringworm infection).

Treatment plan:

Consult your specialist doctor, discuss with him or her and follow the treatment with consent.
1. Continue Onabet cream for two more weeks.
2. Tablet Levocetirizine 5 mg once daily after dinner.
3. Novale soap (Ketoconazole) for the bath.
4. Abzorb dusting powder (Clotrimazole) daily at night in all the body folds.

Preventive measures:

1. Avoid tight clothing.
2. Avoid activities with excessive sweating.
3. Weight reduction measures if overweight.

Regarding follow up:

For further information consult a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist

Thank you doctor,

I will get the tests done as per your suggestions and come back with the results. But whenever I am applying the Onabet cream, it causes more itching especially after perspiration in those areas.

#

Hi,

Welcome back to icliniq.com.

  • If you are not comfortable with Onabet cream, you may consider changing it to Candid cream (combination of Clotrimazole and Betamethasone) twice daily with your doctor's consent.
  • Do use the dusting powder at night as it absorbs if there is any sweat.

For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist


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