Q. Please help with my recurrent fungal infection.

Answered by
Dr. Suvash Sahu
and medically reviewed by iCliniq medical review team.
Published on May 03, 2016

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.

Dr. Suvash Sahu

Cosmetology Dermatology Venereology
#

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 minimum of three months.

Follow certain general measures such as:

  1. Avoid heat, moisture and maceration (softening by soaking).
  2. Dry the body folds, finger 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

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