HomeAnswersDermatologyjock itchWhy do I repeatedly get fungal infections?

Please help with my recurrent fungal infection.

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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.

Answered by

Dr. Suvash Sahu

Medically reviewed by

iCliniq medical review team

Published At May 3, 2016
Reviewed AtJanuary 17, 2024

Patient's Query

Hello doctor,

I am getting itching in the area where I wear my undergarments. I tried many medicines for fungal infection, but it does not go away. It has been there for more than a year. It keeps recurring. Currently, I am applying Miconazole cream and Clotrimazole powder. Please help.

Answered by Dr. Suvash Sahu

Hi,

Welcome to icliniq.com.

With your given description, it looks like resistant tinea cruris infections or may be erythrasma (skin condition affecting the folds in the body). You have not mentioned the duration of individual drugs you have taken. Itraconazole is a good drug for this, but you have to take 100 mg daily for around 28 days. Along with this, you can try Sertaconazole cream with Fusidic acid cream to cover erythrasma twice daily for a minimum of three months. Follow certain general measures such as, avoiding heat, moisture, and maceration (softening by soaking). Dry the body folds, fingers, and toe webs thoroughly after bathing.

The Probable causes

May be not taken full duration of the course of medicines for fungal infection.

Investigations to be done

1. Blood sugar. 2. Skin scraping for KOH (Potassium hydroxide).

Differential diagnosis

1. Tinea cruris.

2. Erythrasma.

3. Candidal dermatitis.

Probable diagnosis

Recalcitrant tinea cruris.

Regarding follow up

Revert back after the tests to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist

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

Dr. Suvash Sahu
Dr. Suvash Sahu

Dermatology

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