What are the main causes of candidiasis of the skin. How can you recognize the symptoms of a yeast infection on your skin. What are the most effective treatment options for cutaneous candidiasis. How can you prevent candidiasis through lifestyle changes and proper hygiene.

Understanding Candidiasis of the Skin: A Common Fungal Infection

Candidiasis of the skin, also known as cutaneous candidiasis, is a fungal infection caused by an overgrowth of Candida yeast on the skin. While small amounts of Candida naturally live on our skin without causing problems, certain conditions can lead to excessive growth and infection. This article will explore the causes, symptoms, treatment options, and prevention strategies for candidiasis of the skin.

Recognizing the Symptoms of Cutaneous Candidiasis

The primary symptom of candidiasis of the skin is a red, itchy rash. This rash can vary in appearance and may include:

• Intense itching and redness
• Cracked or sore skin
• Blisters or pustules
• Scaling or flaking of the skin

The rash typically develops in areas where skin folds create warm, moist environments, such as:

• Armpits
• Groin area
• Between fingers and toes
• Under breasts
• In skin folds of obese individuals

In some cases, Candida can also affect the nails, causing infections around the edges and corners of the nails. It’s important to note that candidiasis can sometimes be mistaken for other skin conditions, such as ringworm, eczema, or psoriasis.

Common Causes and Risk Factors for Skin Candidiasis

Several factors can contribute to the development of candidiasis on the skin:

• Warm, humid weather
• Tight, non-breathable clothing
• Poor hygiene practices
• Infrequent changing of undergarments
• Obesity
• Use of antibiotics that disrupt the skin’s natural flora
• Corticosteroid medications or other immunosuppressants
• Weakened immune system due to conditions like diabetes or pregnancy
• Incomplete drying of skin after bathing or swimming

Understanding these risk factors can help individuals take steps to prevent candidiasis from occurring or recurring.

Diagnosing Candidiasis of the Skin: What to Expect

Diagnosis of cutaneous candidiasis typically involves a physical examination by a healthcare professional. During this exam, the doctor will inspect the affected areas, looking for characteristic signs of the infection. In some cases, additional tests may be necessary:

• Skin culture: A cotton swab is used to collect a sample from the affected area, which is then tested for the presence of Candida fungi.
• KOH test: A small scraping of the skin is examined under a microscope after being treated with potassium hydroxide (KOH) to identify fungal elements.
• Wood’s lamp examination: In some cases, a special ultraviolet light may be used to detect certain types of fungal infections.

These diagnostic methods help differentiate candidiasis from other skin conditions that may present similar symptoms.

Effective Treatment Options for Skin Candidiasis

Treatment for candidiasis of the skin typically involves a combination of topical antifungal medications and lifestyle changes. The most common treatment options include:

Topical Antifungal Medications

• Over-the-counter antifungal creams, ointments, or powders (e.g., clotrimazole, miconazole)
• Prescription-strength antifungal medications for more severe cases
• Oral antifungal drugs for widespread or resistant infections

Lifestyle and Home Remedies

• Keeping the affected area clean and dry
• Using gentle, unscented soaps
• Wearing loose-fitting, breathable clothing
• Changing out of damp clothes promptly
• Maintaining good overall hygiene

Is there a role for natural remedies in treating candidiasis of the skin? While scientific evidence is limited, some individuals find relief using natural treatments such as tea tree oil, coconut oil, or apple cider vinegar. However, it’s essential to consult with a healthcare provider before using any alternative treatments, especially if the infection is severe or persistent.

Preventing Candidiasis: Lifestyle Changes and Hygiene Practices

Prevention is key when it comes to candidiasis of the skin. By implementing certain lifestyle changes and maintaining good hygiene practices, you can significantly reduce your risk of developing this fungal infection:

1. Keep skin clean and dry, especially in areas prone to sweating
2. Wear loose-fitting, breathable clothing made from natural fibers
3. Change out of wet or damp clothing promptly
4. Use gentle, unscented soaps and avoid harsh chemicals on your skin
5. Pat skin dry thoroughly after bathing or swimming
6. Change underwear and socks daily
7. Maintain a healthy weight to reduce skin folds
8. Manage underlying health conditions, such as diabetes, that may increase your risk
9. Use probiotics to support a healthy balance of microorganisms on your skin
10. Avoid prolonged use of antibiotics unless necessary

By incorporating these practices into your daily routine, you can create an environment less favorable for Candida overgrowth and reduce your risk of developing cutaneous candidiasis.

Special Considerations: Candidiasis in Infants and Immunocompromised Individuals

Certain populations may be more susceptible to candidiasis of the skin or experience more severe symptoms:

Infants and Diaper Rash

Babies are particularly prone to developing candidiasis in the diaper area due to the warm, moist environment. To prevent and manage diaper-related candidiasis:

• Change diapers frequently
• Clean the diaper area gently but thoroughly
• Allow the skin to dry completely before putting on a new diaper
• Consider using barrier creams to protect the skin
• Use breathable diapers or allow diaper-free time when possible

Immunocompromised Individuals

People with weakened immune systems, such as those with HIV/AIDS, undergoing chemotherapy, or taking immunosuppressant medications, may be more susceptible to candidiasis and may experience more severe symptoms. For these individuals:

• Regular skin checks and prompt treatment of any signs of infection are crucial
• Preventive measures should be strictly followed
• Close monitoring by a healthcare provider is essential
• Systemic antifungal treatments may be necessary in some cases

Understanding these special considerations can help vulnerable populations take appropriate precautions and seek timely medical attention when needed.

When to Seek Medical Attention for Skin Candidiasis

While many cases of candidiasis of the skin can be managed with over-the-counter treatments and home remedies, there are situations where professional medical care is necessary. Seek medical attention if:

• The rash is severe, widespread, or not improving with home treatment
• You have a weakened immune system due to an underlying condition or medication
• The infection appears to be spreading to other parts of the body
• You experience fever or other systemic symptoms
• The rash is accompanied by open sores or signs of secondary bacterial infection
• You’re pregnant or breastfeeding and suspect you have a yeast infection
• You have recurring episodes of candidiasis despite preventive measures

A healthcare provider can assess the severity of the infection, rule out other potential causes, and prescribe appropriate treatment if necessary.

Candidiasis of the skin is a common fungal infection that, while often uncomfortable, is typically manageable with proper care and treatment. By understanding the causes, recognizing the symptoms, and implementing preventive measures, individuals can reduce their risk of developing this condition. When candidiasis does occur, prompt treatment with antifungal medications and lifestyle adjustments can help resolve the infection and prevent recurrence. Remember, maintaining good hygiene practices and a healthy lifestyle are key to keeping your skin’s natural balance in check and preventing fungal overgrowth.

Candidiasis of the Skin: Causes, Symptoms, and Treatment

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Candidiasis is a fungal skin infection. Home remedies and lifestyle changes often help, but antifungal cream or powder may be necessary.

Different types of bacteria and fungi live and grow on your skin. Most of them aren’t dangerous. Your body requires the majority of them to carry out normal functions. However, some can cause infections when they begin to multiply uncontrollably.

The Candida fungus is one of these potentially harmful organisms. When an overgrowth of Candida develops on the skin, an infection can occur. This condition is known as candidiasis of the skin, or cutaneous candidiasis.

Candidiasis of the skin often causes a red, itchy rash to form, most commonly in the folds of the skin. This rash may also spread to other areas of the body. While the symptoms are often bothersome, they can usually be treated with improved hygiene and antifungal creams or powders.

The main symptom of candidiasis of the skin is a rash. The rash often causes redness and intense itching. In some cases, the infection can cause the skin to become cracked and sore. Blisters and pustules may also occur.

The rash can affect various parts the body, but it’s most likely to develop in the folds of the skin. This includes areas in the armpits, in the groin, between the fingers, and under the breasts. Candida can also cause infections in the nails, edges of the nails, and corners of the mouth.

Other conditions that may resemble candidiasis of the skin include:

• ringworm
• hives
• herpes
• diabetes-related skin conditions
• contact dermatitis
• seborrheic dermatitis
• eczema
• psoriasis

Candidiasis of the skin develops when the skin becomes infected with Candida. A small amount of Candida fungi naturally live on the skin. When this type of fungus begins to multiply uncontrollably, however, it can cause an infection. This may occur because of:

• warm weather
• tight clothing
• poor hygiene
• infrequent undergarment changes
• obesity
• the use of antibiotics that kill harmless bacteria that keep Candida under control
• the use of corticosteroids or other medications that affect the immune system
• a weakened immune system as a result of diabetes, pregnancy, or another medical condition
• incomplete drying of damp or wet skin

Candida fungi thrive and grow in warm, moist areas. This is why the condition often affects areas where there are folds of skin.

Babies can also develop candidiasis of the skin, especially on the buttocks. A diaper tends to provide an ideal environment for Candida.

Candidiasis of the skin usually isn’t contagious. However, people with weakened immune systems may develop the condition after touching the skin of an infected person. Those with compromised immune systems are also more likely to develop a severe infection as a result of candidiasis.

Your doctor will likely be able to make a diagnosis simply by performing a physical examination. During the exam, they’ll inspect the location of your rash and the appearance of your skin.

Your doctor may also want to perform a skin culture before making a diagnosis of candidiasis of the skin. During a skin culture, your doctor will rub a cotton swab over the affected area and collect a skin sample. The sample will then be sent to a laboratory to be tested for the presence of Candida.

Candidiasis of the skin can usually be prevented with home remedies, the most important of which is proper hygiene. Washing the skin regularly and drying the skin thoroughly can prevent the skin from becoming too moist. This is vital to keeping Candida infections at bay.

There are many lifestyle changes you can make to both prevent and treat a candidiasis infection.

Helpful tips

• Quickly change out of damp clothing, such as swimsuits or sweaty workout clothes.
• Change your socks and undergarments regularly.
• Wear loose-fitting clothing.
• Use gentle and scent-free soap on affected areas.
• Add probiotics to your diet.
• Reduce the amount of sugar in your diet.

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Since abnormal blood sugar levels can contribute to the development of Candida infections, keeping your blood sugar under control may also help relieve symptoms. You may be able to lower your blood sugar by reducing the amount of sugar in your diet and by exercising for 30 minutes at least three times per week. If you have diabetes, it’s important to continue following your doctor’s instructions as you may need to start receiving oral medications or an increased amount of insulin.

In severe or persistent cases of candidiasis, your doctor may recommend using an antifungal cream or powder that can be applied to your skin. Over-the-counter antifungal creams that are often recommended include clotrimazole (Mycelex), miconazole (Monistat), and tioconazole (Vagistat). This type of treatment can kill Candida and reduce the spread of the infection.

Your doctor may prescribe an antifungal cream such as nystatin or ketoconazole if the over-the-counter treatments aren’t effective. If the infection has already spread to areas inside your body, such as your throat or mouth, you may need to take an oral antifungal to get rid of it.

Cutaneous candidiasis (or candidiasis present on skin, nails, or hair) is a common occurrence in infants and babies.

Candidiasis-related diaper rash is one of the most frequently occurring candidiasis infections in babies. This rash is typically red with a well-defined border, and normally lasts more than three days. Treatment includes changing the infant’s diaper frequently and allowing them to wear loose-fitting clothes on top of the diaper. The antifungal nystatin may be prescribed.

Oral thrush is another common occurrence in newborns and infants under 6 months old. Symptoms can include cracked skin in the corners of the mouth and whitish patches on the lips, tongue, or inside of the cheeks. Your doctor can prescribe an antifungal medication that’s applied to the infant’s mouth several times a day.

If candidiasis infection is left untreated, it can enter the bloodstream and spread. See your doctor if you believe your baby has candidiasis.

Learn more: Oral thrush »

Although healthy children have strong immune systems, a 2010 study found that the rate of topical fungal infections among children is increasing rapidly. Children sometimes develop candidiasis infections after receiving antibiotics that treat another condition. Children who suck their thumbs may be prone to developing candidiasis infections in or around their nail beds.

If your child is 9 months or older and has reoccurring thrush or skin infections, this could point to an underlying health concern, such as HIV or another problem with the immune system. Older children with frequent or severe skin infections should also be tested for diabetes.

Candidiasis of the skin usually goes away with treatment, and most people fully recover without complications. If treated, the candidiasis typically resolves within one to two weeks. Without prescription treatment, recovery can take anywhere from a few days to a few weeks, depending on the severity of the infection.

Even with treatment, it is possible for the infection to return in the future. People with compromised immune systems, especially those undergoing chemotherapy and those with HIV or AIDS, are at a much higher risk of severe or life threatening Candida infections. If you’re undergoing chemotherapy or you have HIV or AIDs and you develop severe throat pain, headache, or high fevers, you should see your doctor immediately.

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Candidiasis (Yeast Infection) – Skin Disorders

By

Denise M. Aaron

, MD, Dartmouth Geisel School of Medicine

Reviewed/Revised Sep 2021 | Modified Sep 2022

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Topic Resources

Candidiasis is infection with the yeast Candida.

• Candidiasis tends to occur in moist areas of the skin.

• Candidiasis may cause rashes, scaling, itching, and swelling.

• Doctors examine the affected areas and view skin samples under a microscope or in a culture.

• Antifungal creams or antifungal drugs given by mouth usually cure candidiasis.

(See also Overview of Fungal Skin Infections Overview of Fungal Skin Infections Fungi usually make their homes in moist areas of the body where skin surfaces meet: between the toes, in the genital area, and under the breasts. Common fungal skin infections are caused by… read more .)

Candida is a yeast that normally resides on the skin and in the mouth, digestive tract, and vagina and usually causes no harm. Under certain conditions, however, Candida can overgrow on mucous membranes and moist areas of the skin. Typical areas affected are the lining of the mouth, the groin, the armpits, the spaces between fingers and toes, on an uncircumcised penis, the skinfold under the breasts, the nails, and the skinfolds of the stomach. Yeast is a type of fungus.

Conditions that enable Candida to infect the skin include the following:

• Hot, humid weather

• Tight, synthetic underclothing

• Poor hygiene

• Infrequent diaper or undergarment changes, particularly in children and older people

• A weakened immune system resulting from diabetes, HIV infection/AIDS, or use of corticosteroids and other drugs that suppress the immune system

• Pregnancy, obesity, or use of antibiotics

• Other skin disorders such as intertrigo Intertrigo Intertrigo is irritation and breakdown of skin (maceration) in areas where two skin surfaces rub together. Sometimes bacterial or yeast infections develop. The diagnosis is based on the location… read more and psoriasis Psoriasis Psoriasis is a chronic, recurring disease that causes one or more raised, red patches that have silvery scales and a distinct border between the patch and normal skin. A problem with the immune… read more

People taking antibiotics may develop candidiasis because the antibiotics kill the bacteria that normally reside on the body, allowing Candida to grow unchecked. Corticosteroids or immunosuppressive therapy after organ transplantation can also lower the body’s defenses against candidiasis. Inhaled corticosteroids, often used by people with asthma, sometimes cause candidiasis of the mouth. Pregnant women, people receiving cancer therapy drugs, obese people, and people with diabetes also are more likely to be infected by Candida.

In some people (usually people with a weakened immune system), Candida may invade deeper tissues as well as the blood, causing life-threatening systemic candidiasis Candidiasis Candidiasis is a fungal infection caused by several species of the yeast Candida, especially Candida albicans. The most common type of candidiasis is a superficial infection of… read more .

Symptoms of candidiasis vary, depending on the location of the infection.

Infections in skinfolds (intertriginous infections) or in the navel usually cause a bright red rash, sometimes with breakdown of skin. Small pustules may appear, especially at the edges of the rash, and the rash may itch intensely or burn. A candidal rash around the anus may be raw, white or red, and itchy. Infants may develop a candidal diaper rash Diaper rash (diaper dermatitis) A rash is an abnormal change in the texture or color of the skin. Known causes of rashes include irritation, allergies, drugs, and bacterial, fungal, or viral infections. Rashes include redness… read more in the diaper area.

Vaginal candidiasis (vulvovaginitis, yeast infection— see Overview of Vaginitis (Vaginal Infection or Inflammation) Overview of Vaginitis (Vaginal Infection or Inflammation) Vaginal infections are one of the most common reasons women see their doctor, accounting for millions of visits each year. Vaginal infections are caused by infectious organisms (such as bacteria… read more ) is common, especially among women who are pregnant, have diabetes, or are taking antibiotics. Symptoms of these infections include a white or yellow cheeselike discharge from the vagina and burning, itching, and redness along the walls and external area of the vagina.

Penile candidiasis most often affects men with diabetes, uncircumcised men, or men whose female sex partners have vaginal candidiasis. Sometimes the rash may not cause any symptoms, but usually the infection causes a red, raw, itching, burning, or sometimes painful rash on the head of the penis.

Thrush is candidiasis inside the mouth Candidiasis Candidiasis is a fungal infection caused by several species of the yeast Candida, especially Candida albicans. The most common type of candidiasis is a superficial infection of… read more . The creamy white patches typical of thrush cling to the tongue and sides of the mouth and may be painful. The patches can be scraped off with a finger or blunt object and may bleed when scraped. Thrush in otherwise healthy children is not unusual, but in adults it may signal a weakened immune system, possibly caused by cancer, diabetes, or human immunodeficiency virus (HIV) infection. The use of antibiotics that kill off competing bacteria increases the risk of developing thrush.

Perlèche is candidiasis at the corners of the mouth, which causes cracks and tiny fissures. It may stem from chronic lip licking, thumb sucking, ill-fitting dentures, or other conditions that make the corners of the mouth moist enough that yeast can grow.

Candidal paronychia Chronic Paronychia Chronic paronychia is recurring or persistent inflammation of the nail fold, typically of the fingernails. (See also Acute Paronychia.) Chronic paronychia occurs almost always in people whose… read more is candidiasis in the nail folds or cuticles, which causes painful redness and swelling ( see Onychomycosis Onychomycosis Onychomycosis is a fungal infection of the nails. (See also Overview of Nail Disorders.) About 10% of people have onychomycosis, which most often affects the toenails rather than the fingernails… read more ) around the nail. In longstanding infection, the area underneath the nail may turn white or yellow, and the nail plate may separate from the nail bed (onycholysis Onycholysis The terms deformities and dystrophies are often used interchangeably, sometimes even by doctors. However, their meanings are slightly different. Deformities: Changes in nail shape… read more ). This disorder typically occurs in people with diabetes or a weakened immune system or in otherwise healthy people whose hands are subjected to frequent wetting or washing.

Chronic mucocutaneous candidiasis Chronic Mucocutaneous Candidiasis Chronic mucocutaneous candidiasis, a hereditary immunodeficiency disorder, is persistent or recurring infection with Candida (a fungus) due to malfunction of T cells (a type of white. .. read more causes red, pus-filled, crusted, and thickened areas that resemble psoriasis Psoriasis Psoriasis is a chronic, recurring disease that causes one or more raised, red patches that have silvery scales and a distinct border between the patch and normal skin. A problem with the immune… read more , especially on the nose and forehead. People who have this condition are also prone to thrush.

Usually, doctors can identify candidiasis by observing its distinctive rash or the thick, white, pasty residue it generates.

To confirm the diagnosis of candidiasis, doctors may scrape off some of the skin or residue with a scalpel or tongue depressor. The scraping Scrapings Doctors can identify many skin disorders simply by looking at the skin. A full skin examination includes examination of the scalp, nails, and mucous membranes. Sometimes the doctor uses a hand-held… read more sample is then examined under a microscope or placed in a culture medium Culture Doctors can identify many skin disorders simply by looking at the skin. A full skin examination includes examination of the scalp, nails, and mucous membranes. Sometimes the doctor uses a hand-held… read more (a substance that allows microorganisms to grow) to identify the specific fungus.

Treatment of candidiasis typically depends on the location of the infection. (See also table Some Antifungal Drugs Applied to the Skin (Topical Drugs) Some Antifungal Drugs Applied to the Skin (Topical Drugs) .)

Infections in skinfolds are treated with antifungal creams, powders, solutions, or other products that are applied directly to the skin (topical). Examples include miconazole, clotrimazole, oxiconazole, ketoconazole, econazole, ciclopirox, and nystatin. In healthy people, skinfold infections are usually easily cured. Keeping the skin dry helps clear up the infection and prevents it from returning. Solutions that dry out the skin (such as Burow solution) or topical antiperspirants help keep the surface area dry. Keeping the area dry may also help prevent a recurrence. People who have many infected skinfolds may be given drugs by mouth (such as fluconazole).

Vaginal candidiasis is treated with antifungal drugs that may be applied as a cream to the affected area, inserted into the vagina as a suppository, or taken by mouth (such as fluconazole).

Diaper rash is treated with more frequent changes of diapers, use of super-absorbent or ultra-absorbent disposable diapers, and a cream that contains an antifungal drug (for example, butoconazole, clotrimazole, fluconazole, ketoconazole, or miconazole).

Candidal paronychia is treated by protecting the area from wetness. Doctors give antifungal drugs that are taken by mouth or applied to the skin. These infections are often difficult to treat.

Thrush in adults is treated with drugs that go directly in the mouth. An antifungal drug (such as clotrimazole) may be given as a tablet or lozenge that dissolves in the mouth. Doctors may also have people gargle with liquid nystatin for as long as possible and then spit it out or swallow it. Doctors may also give drugs in pill form that are swallowed (such as fluconazole).

Thrush in infants may be treated with liquid nystatin. The liquid can be applied with a finger or cotton swab to the cheek pouches inside the mouth.

Chronic mucocutaneous candidiasis is treated with fluconazole taken by mouth. This drug is taken for a long time.

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Yeast Infection – All You Need to Know

Definition

A yeast infection is commonly referred to as candidiasis. This is a widespread infection caused by the yeast Candida Albicans. Fungal infections are common in warm, moist areas of the body, including the mouth, intestines, vagina, throat, and moist areas of the skin.

Candida usually causes no problems and can live inside the body. Normally, the body’s immune system is actively working to balance the growth of fungi. If the immune system changes, you can get candidiasis. When Candida gets out of control, you may experience a number of problems. Thrush occurs due to the abundance of fungi in the mouth. If it forms in the vagina, it is called a vaginal yeast infection.

Candida is more likely to occur as a secondary infection in immunocompromised people. Candidiasis, moniliosis and thrush are synonymous with candidiasis. These organisms can be found in the mouth, gastrointestinal tract, genitals, and other parts of the body.

Fungi become pathogenic only under certain conditions. They can affect the oral cavity, vaginal area, penis, and other parts of the body. Thrush is the name of a type of candidiasis that affects the oral cavity. Oral candidiasis can be pseudomembranous, erythematous, and chronic hyperplastic.

Candidiasis is common in chronically ill people and newborns. It most often appears as white, soft, slightly raised plaques on the tongue and oral mucosa. The plaques look like cottage cheese and are composed of matted masses of fungal hyphae, desquamated epithelium, necrotic debris, keratin, leukocytes, fibrin, and bacteria. When the white plaque is removed, an erythematous area remains.

Antibiotic pain in the mouth is another name for erythematous candidiasis. This occurs after the use of broad-spectrum antibiotics or corticosteroids. Lesions present as persistently painful erythematous patches on the tongue, as well as atrophy of the central papillae. When the palate is involved and erythema occurs as a result of contact with the tongue, this is called kissing injury.

Candidiasis leukoplakia, also known as chronic hyperplastic candidiasis, is characterized by hard, white, persistent plaques on the lips, tongue, and buccal mucosa. These plaques may be uniform or nodular and may persist for years. This may be a precancerous condition.

Epidemiology of thrush

Candidiasis is more common in the elderly and children. Thrush affects approximately 37% of newborns in the United States during the first few months of their lives. Oral candidiasis is more common in children who use inhaled steroids. Quite common in pregnant women. Thrush can be an early sign of HIV infection. Thrush occurs worldwide and is more common in those who are malnourished. Thrush affects both men and women.

How does a yeast infection occur?

Yeast infections can occur for a number of reasons. As a result of fluctuations in hormones in some women, they appear during the menstrual cycle or during pregnancy. Some birth control pills can also make you more likely to develop a yeast infection.

Candida (yeast) is a form of fungus that can survive almost anywhere. It is normally present in the body; however, the immune system prevents it from spreading out of reach. Thus, infection occurs as most of the yeast multiplies inside the vagina.

Thrush can occur due to an imbalance in the natural balance between yeast and bacteria in the vagina. For example, antibiotics used to treat any bacterial infection can also kill lactobacilli. These are beneficial bacteria found in the vagina that inhibit the growth of yeast.

Fungal infections may be exacerbated by conditions that compromise the immune system, including sexually transmitted diseases. Women with diabetes who do not control their blood sugar are also at greater risk. This is due to the fact that elevated sugar levels stimulate the growth of yeast.

Yeast infections can sometimes also occur on the scrotum and penis, although this is less common. They can cause inflammation and redness around the penis or scrotum.

Generally, yeast infections are not STDs. They are not contagious and cannot be transmitted during sexual intercourse. However, intercourse can sometimes lead to fungal infections. This is because the body can react negatively to someone else’s natural genital yeast or bacteria, causing the yeast to develop.

Yeast infection risk factors

The following factors may increase your chances of getting a yeast infection;

Use of antibiotics. Yeast infections are common in women who take antibiotics frequently. Broad-spectrum antibiotics that kill all bacteria often kill the good bacteria in the vagina, leading to yeast overgrowth.

High estrogen levels. In most cases, yeast infections are more common in women with higher estrogen levels. This includes pregnant women or women taking high doses of birth control or estrogen hormones.

Uncontrolled diabetes. Most women with poorly controlled blood sugar levels are more prone to yeast infections than women with well controlled blood sugar levels.

Immune system dysfunction: Women with weakened immune systems, including those due to corticosteroid injections and HIV infection, are most likely to develop yeast infections.

Types of yeast infections

Thrush (oropharyngeal candidiasis):

Thrush is an infection that occurs when Candida is spread in the throat and mouth. It is more common in the elderly, newborns, and people with weakened immune systems.

Oral candidiasis is a fungus that affects the oral mucosa and is one of the most common fungal infections. These ulcers are caused by the yeast Candida albicans. Candida albicans is a common component of the normal oral microbiota, with 30 to 50 percent of people carrying the fungus. With the age of the patient, the frequency of carriage increases. Candida albicans is found on the lips in 60% of patients over 60 with dentures.

In addition, adults are more likely to get thrush if they;

• Under treatment for cancer
• Taking medications such as corticosteroids or broad-spectrum antibiotics.
• Have diabetes
• Wearing dentures

Thrush may not cause any symptoms in the early stages. However, as the infection worsens, you may develop one or more of the following signs and symptoms;

• White or yellow bumps around the tongue, cheeks, lips, tonsils or gums
• If the bumps of the yeast infection are scraped off, you may have some bleeding.
• Burning and sore mouth
• Cotton sensation in the mouth
• Cracked and dry skin around the corners of the mouth
• Problems with swallowing
• Having an unpleasant taste in the mouth
• Loss of taste

In some cases, thrush can also affect the esophagus, although this is rare. A similar fungus associated with oral thrush can also cause a yeast infection in another part of the body.

Yeast infection is contagious to people who are at higher risk. This includes people with compromised body immune systems or who use certain medications. The infection is rarely transmitted through kissing or other intimate contact in healthy people. In most cases, thrush is not contagious, but it can still spread.

If you are afraid of contracting thrush from an infected person, refrain from contact with his saliva. When you are in close proximity to a person with thrush, it is recommended that you wash your hands as often as possible.

• Difference between “oral yeast infection” and “strep” infection.

A bacterial infection of the throat causes soreness and inflammation of the throat. Oral candidiasis is an opportunistic oral infection that often co-occurs with staphylococcus or streptococcus bacteria.

• Oral Yeast Infection and Simple Tongue Ulcer

Ulcers are painful sores that develop in the inside of the mouth. Ulcers are caused by stress, minor trauma to the inside of the mouth, sour fruits and vegetables, and hot, spicy foods.

Genital yeast infection or genital candidiasis:

Approximately 3 out of every four adult women will develop a yeast infection at any time in their lives. This happens if there is so much yeast growing in the vagina. Genital yeast infections can also occur in men, but are much less common.

Thrush usually occurs when the vaginal balance changes. Diabetes, pregnancy, use of certain medications, spermicides, lubricants, or a weakened immune system can contribute to this. Sometimes the infection can be passed from one person to another during sexual intercourse.

A vaginal or genital yeast infection can be associated with numerous signs and symptoms:

• Itching sensation in the vaginal and vulvar area.
• White and thick cheesy vaginal discharge.
• Swelling of the vulva and vagina.
• Small cracks and tiny cuts in the skin around the vulva due to looseness of the skin.
• Burning sensation in thrush, especially when urinating
• In some cases, pain during intercourse may be associated with a vaginal yeast infection.

Invasive candidiasis:

Candida yeast can spread to the heart, eyes, blood, bones and brain if it enters the bloodstream. This can happen through medical instruments or devices, resulting in a severe fatal infection.

This usually occurs in patients who have been hospitalized or live in a medical facility such as a nursing home. You are more likely to have invasive candidiasis, especially if you have a weakened immune system, diabetes, kidney disease, or are taking antibiotics.

Fever and chills are some of the signs and symptoms of invasive candidiasis. Although a person with this infection is likely to develop another disease, it can be difficult to diagnose.

Diaper rash due to yeast infection:

Diaper rash usually occurs when a wet or dirty diaper is left on the baby for an extended period of time. When a child’s skin becomes irritated, infection becomes more likely. If the diaper rash persists, examine the child and check for reddened perineal skin. Also check for raised red borders on sores. If this is the case, ask the pediatrician to examine the child for candidiasis.

In general, the best way to avoid candidiasis and diaper rash is to keep your baby’s bottom clean and dry at all times.

Yeast infection symptoms

Intense itching and irritation in the vagina and vulva, burning sensation when urinating, which can be mistaken for a urinary tract infection. Vaginal discomfort or pain, a dry, erythematous rash, and a thick, white, cheesy discharge are all symptoms of vulvovaginitis.

Candida can also cause thrush, which is characterized by a white or yellow rash on the tongue and mucous membranes of the mouth, and redness and cracking pain around the corners of the mouth. In this case, it spreads into the oropharynx, causing discomfort when swallowing. Infants, the elderly, and people with weakened immune systems are all susceptible to candidiasis. Fever, chills, hypotension, and confusion are all symptoms of systemic candidemia.

Candidal infection of the larynx is rare. Women suffer the most. They often express dysphoria. It is closely related to gastric reflux or a history of inhaled corticosteroid use. The presence of leukoplastic lesions can lead to damage to the glottis.

Diagnosis of thrush

To effectively diagnose a yeast infection, a gynecologist or other healthcare professional may;

• Ask about your general medical history . This usually includes getting the necessary information about previous yeast infections and any STIs.
• Gynecological examination. During the diagnosis, the doctor will evaluate the external genitalia for signs of a yeast infection. After that, he or she may insert a device known as a speculum into the vagina to examine the cervix and vagina. The cervix is ​​the lower and narrower region of the uterus.
• Examination of vaginal discharge. If necessary, the doctor may take a sample of vaginal secretions to analyze the types of fungus, which will further provoke an infection. Determining the types of fungus allows a doctor to prescribe appropriate forms of treatment for recurrent yeast infections.

Yeast Infection Treatment

Yeast infection treatment usually depends on the type and nature of the infection, whether it is complex or uncomplicated.

For a less complex yeast infection, treatment includes two approaches including oral therapy and topical vaginal treatment. A short course of vaginal therapy is usually appropriate for treating an uncomplicated yeast infection.

Alternative medicine for yeast infection or over-the-counter yeast infection medications include butoconazole (ginazol-1), clotrimazole (gynelothrimine), miconazole (monistat 3) and terconazole (terazol 3). In addition, clotrimazole, monistat 3 and terciflunomide can be purchased online.

The effectiveness of oral and topical therapy is the same, although oral preparations are more expensive. Fluconazole should not be given during the first trimester of pregnancy. Fluconazole is taken on days 1, 4, and 7 for recurrent vaginal candida infection, and then monthly for six months.

Oral thrush can similarly be treated with oral lozenges as a replacement dosage form. Oral or intravenous antifungals such as caspofungin, fluconazole, and amphotericin B are used to treat systemic candidiasis.

In the case of fungal stomatitis, the patient should stop using a denture for at least two weeks and apply topical antifungal drugs. Loss of vertical dimension of the jaw causes angular cheilitis. As a result, when the infection subsides, it is necessary to fabricate a new denture with suitable vertical dimensions. Probiotics may be used as an adjunct in the treatment of oral thrush.

Complex yeast infection:

Treatment of complex yeast infection will require long-term vaginal treatment or multi-dose oral formulas. Maintenance medications may be recommended. Such drugs are used daily to prevent the recurrence of the disease.

Long-term vaginal therapy consists of 7-14 days of complex treatment using tablets, vaginal cream, thrush suppositories or ointment. Instead of direct vaginal treatment, two or three oral doses of fluconazole can sometimes be given. When symptoms are severe, a doctor may recommend topical steroids for a few days to relieve symptoms until antifungal treatment is effective.

Check if fungal infections are causing symptoms before taking antifungals. This is because overuse of antifungal medications can increase the chance of yeast resistance. This means that drugs can no longer function in the body in the way that they will in the future.

When maintenance prescriptions are needed, they should begin after completion of one of the above forms of treatment. This may be weekly oral fluconazole therapy for six months or weekly vaginal therapy with clotrimazole.

If your partner is showing symptoms of a yeast infection, they should also be treated. In this case, it is often recommended to use a condom.

Yeast Infection Prevention

Although there is no sure way to avoid a Candida infection, there are certain things you can do to reduce your chances of getting a vaginal yeast infection. In most cases, women at risk are strongly advised to:

• Refrain from douching
• Avoid using feminine deodorants, tampons, or deodorant pads.
• Wear underwear made from cotton or other natural fabrics.
• Wear slightly loose and fitted trousers and skirts.
• Wash underwear at high temperatures
• Refrain from wearing tight underwear or tights
• Eat a balanced, varied diet
• Change wet clothing, such as bathing suits, as soon as possible.
• Avoid hot tubs and hot tubs if possible.

Health care providers may recommend oral or intravaginal probiotics for women with more than three infections per year. Also, if you notice or suspect any symptoms and signs of a yeast infection, talk to your doctor right away about a proper diagnosis.

Differential diagnosis

Pustular psoriasis, subcorneal pustulosis, and acute generalized basal pustulosis can all cause a spongy rash. To exclude the fungal etiology of psoriasis, certain dyes should be applied.

Impetigo is also spongy. Gram stain can be used to detect bacterial colonies in impetigo, although GMS and PAS stains do not stain fungal forms.

Tinea cruris and corporis are known for their spongy shape. Without developing candida yeast, special staining reveals septate hyphae. Sometimes it can be difficult to tell the difference. Candida infiltrates the keratinized epithelium, while dermatophytosis more often affects the stratum corneum.

It is difficult for an otolaryngologist to make a correct diagnosis of laryngeal candidiasis, a high degree of alertness is required. Patients with predisposed characteristics who present with a suspected lesion should include the disease in the differential diagnosis.

Prognosis

Although the most common candidal infections are localized, vaginal and skin infections are also common. As a result, antifungal drugs can be used to treat them, resulting in complete recovery and excellent prognosis and outcomes. Candida infection, if left untreated, can spread to other organs and cause systemic disease.

The extent and location of the Candida infection, the general health of the victim, and the timing of diagnosis and treatment all play a role in the long-term prognosis of systemic candidiasis.

Nearly a third of patients with candidemia develop septic shock as a result of host characteristics, including age and source of infection, rather than virulence characteristics of the organisms.

Complications of yeast infections

Complications of a yeast infection may occur in the following cases:

• If you have extreme signs and symptoms, including widespread redness, itching, and swelling that cause cracks, tears, and sores.
• Four or more episodes of yeast infections within one year
• Infection due to less common forms of fungus.
• Pregnancy
• Compromised body immune system due to certain medications or health conditions such as HIV infection.
• Uncontrolled diabetes

Is thrush contagious?

Although yeast infections are not classified as sexually transmitted infections (STIs), they are still contagious. Thrush can be transmitted through oral and vaginal sex. Also, a yeast infection is spread through sex toys or kissing someone who has oral candidiasis.

A baby may develop a fungal diaper rash during childbirth if the mother had vaginal thrush during childbirth. Also, if you have a Candida overgrowth around your breast area, you can pass the disease on to your baby by mouth while breastfeeding.

Although a yeast infection can be passed from one person to another, it is not contagious like other diseases. Therefore, you will not get an infection through the air or from sharing a shower with someone who has it.

Yeast infections in men

Yeast infections in men can develop and affect the penis. When this happens, the condition is called a penile yeast infection. Candida is in all organs, not only in women. Yeast infection can result from overgrowth of this fungus. Due to moisture and skin folds, the groin area is particularly vulnerable to Candida overgrowth.

Yeast infections in women

Yeast infections in women are common. According to studies, three out of four women may have more than two vaginal yeast infections in their lifetime. Despite their widespread occurrence, it is extremely important to treat vaginal yeast infections as soon as possible. You will not only be able to relieve unpleasant symptoms, but you will also be able to minimize the possibility of the spread of the disease in the body.

Yeast infections in children

Yeast infections are usually associated with vaginal infections, but they can also affect children. Diaper rash is the most common yeast infection in children. However, not all diaper rash is caused by yeast overgrowth.

Sometimes your baby’s skin becomes excessively red and blotchy around the diaper or groin area, even after diaper rash cream is applied. With this, you will be able to determine if the disorder is more than a typical diaper rash. In other cases, a yeast infection may also occur in other skin folds, including under the armpits.

Your child’s pediatrician will likely recommend a topical antifungal cream to help fight fungal skin infections. If a child has oral candidiasis or a yeast infection in the mouth, oral treatment may be needed. While a yeast infection rash in children is usually harmless, it can be more serious if left untreated.

Thrush and intercourse

Fungal infection is not sexually transmitted. However, infection is possible after sexual intercourse. On the other hand, other factors can upset the balance of Candida in the vagina. The bacteria can be transmitted through vaginal intercourse, fingers, and sex toys.

Another risk is vaginal intercourse with a partner who has a penile yeast infection. A man can also get a penile yeast infection from a partner with a vaginal yeast infection. In addition, bacteria in the mouth, vaginal area, and also in the penis area can be destroyed by oral sex.

It is also likely that a yeast infection after sex is not associated with other symptoms. Sexual intercourse is just one of the major risk factors for a yeast infection.

Fungal infection and urinary tract infection (UTI)

UTI is one of the most common infections affecting most women. While it is possible to get one or both diseases at the same time, yeast infections and UTIs are two different diseases.

A urinary tract infection is a bacterial infection that develops in the urinary system. The urethra, bladder and kidneys are part of this complex structure. UTIs can also occur due to a variety of factors, including sexual intercourse, STIs, and lack of regular urination.

The signs and symptoms of a UTI are different from those of a yeast infection. As long as there is no visible discharge from a yeast infection, you may notice a small trace of blood in your urine. In addition to regular urination, a UTI can cause pain in the pelvis as well as in the abdomen.

A UTI can cause serious kidney problems if left untreated. Antibiotics must be obtained from a doctor. Also, ask your doctor about the differences between a yeast infection and a urinary tract infection.

How do you tell a “yeast infection” from a “chlamydia” infection?

Yeast infections cause thick, white, cottage cheese-like discharge, while chlamydia can cause white, green, or yellow discharge. Gonorrhea discharge is white or green.

Thrush and menstrual periods

Having a yeast infection and menstruating at the same time can seem like a disaster. This, however, is rare. Yeast infections are common in women in the last days before menstruation.

Hormonal fluctuations are believed to be the cause of thrush before menstruation. This creates an imbalance of good bacteria in the vagina.

If you have white or yellow discharge about a week before your cycle, it may not always be due to a yeast infection. What matters is whether you already have these telltale signs, including redness, itching, or burning.

Although it may be uncomfortable, early treatment can clear up the yeast infection before your next period. Check with your doctor if signs of a yeast infection persist after a cycle is completed. You may also notice them if you continue to get thrush every month before your period.

Yeast infection during pregnancy

Due to the hormonal changes that occur during pregnancy, yeast infections are normal. If you are pregnant and think you have a yeast infection, you should consult your doctor and get a proper diagnosis.

Thrush during pregnancy is not treated in the same way as in non-pregnant women. Because of the potential risk of birth defects in the fetus, you will not be able to use oral antifungals. Doctors often recommend using topical antifungals during pregnancy.

Although yeast infections will not harm the baby, Candida can be passed at birth. Therefore, as a result of this, the child may develop diaper rash or stomatitis. Therefore, it is very important to treat a yeast infection as soon as possible during pregnancy to avoid complications.

Yeast infection of the gut

In immunocompromised individuals, fungal infections are one of the leading causes of morbidity and mortality. Invasive fungal infections, especially those of the gastrointestinal tract, have become more common as the number of immunocompromised people has grown.

Mushroom growth in the intestines is also possible. As a result, candida may appear in your stool. When patients develop symptoms of colon inflammation, especially if they are immunosuppressed, doctors should be aware of the possibility of this fungal disease.

Yeast Infection Diet

It is possible that the foods you eat are contributing to the development of a yeast infection. Sugar is the favorite of yeast. Avoiding the foods listed below (sometimes called the Candida diet) will help you control the development of yeast in your body:

• White flour and rice
• Foods or drinks fermented with yeast
• Products consisting of simple sugars

While avoiding certain foods can help you avoid a yeast infection, sticking to this diet can be difficult. Fortunately, you may not need to completely avoid these foods to reduce the frequency or severity of yeast infections. It may be helpful to simply reduce the amount of these foods.

It may also be helpful to increase your intake of healthy proteins and fats, as well as low starch fruits and vegetables. You don’t have to starve on a low sugar diet; you just need to consume more from other food categories.

When to see a doctor?

You should contact your doctor immediately if;

• You are experiencing signs and symptoms of a yeast infection for the first time
• You are not sure if you have a yeast infection.
• Symptoms do not improve after using over-the-counter antifungal vaginal creams and suppositories.
• Other symptoms appear.

Conclusions

Fungal infection occurs in any part of the body due to overgrowth of yeast. This is the most common infection caused by the yeast Candida Albicans. Fungal infections can develop in the mouth, vagina, underarms, and other moist areas of the skin.

Yeast infections are generally normal, but early treatment can help relieve symptoms in a short period of time. You can also avoid potential conditions by identifying your risk factors. If you have recurrent yeast infections that last more than two months, see your doctor.

Vulvovaginal candidiasis | Dikul Center

Vulvovaginal candidiasis is a fungal infection that causes irritation, discharge, and severe itching in the vagina and vulva, the tissues at the entrance to the vagina.

Vaginal yeast infection occurs in up to 70% of women during their lifetime, and many of these episodes may occur several times.

Vaginal candidiasis is not a sexually transmitted infection. But the first regular sex life significantly increases the risk of developing candidiasis. Also, candidiasis can be associated with oral-genital sex.

Vaginal yeast infections respond well to treatment. In the presence of recurrent yeast infection – four or more times during the year – the patient may need long-term maintenance therapy.

Symptoms

Symptoms of candidiasis can range from mild to moderate and include:

• Feelings of itching and irritation in the vagina and vulva
• Burning sensation when urinating or during intercourse.
• Redness and swelling of the vulva
• Vaginal pain and tenderness
• Vaginal rash
• Thick white cheesy vaginal discharge, odorless.
• Watery vaginal discharge

Complicated candidiasis

A woman may have a yeast infection if:

• There are severe symptoms such as extensive redness, swelling, and itching that are complicated by tears, cracks, or sores.
• If yeast infection develops more than four times a year
• Infection due to an atypical fungus
• Pregnancy
• Uncontrolled diabetes
• Weakening of the immune system due to the use of certain medications or the presence of serious diseases such as HIV infection.

When to see a doctor?

You need to make an appointment with a doctor if:

• Symptoms of a yeast infection appear for the first time
• There is doubt that this is a fungal infection
• Symptoms do not improve after taking over-the-counter antifungal vaginal creams or suppositories.
• Other symptoms appear

Causes

Candida albicans is the main cause of most vaginal yeast infections.

The vagina is known to naturally contain a balanced mix of yeast, including Candida, and bacteria. Some bacteria (lactobacilli) prevent yeast from growing.

But this balance can be upset. Overgrowth of fungi or their penetration into the deeper layers of the mucous tissue of the vagina can lead to the development of symptoms of a yeast infection.

Yeast overgrowth can be caused by:

• The use of antibiotics, which can upset the balance of the natural vaginal flora
• Pregnancy
• Uncontrolled diabetes
• Immune system disorders
• Taking contraceptives or taking hormonal therapy, which can increase the level of estrogen in the blood.

Candida albicans is the most common type of fungus that causes yeast infections. Yeast infections caused by other types of Candida are much more difficult to treat and usually require more aggressive treatments.

Risk factors

Factors that increase the risk of fungal infection include:

• Taking antibiotics. A yeast infection is not uncommon in women who take antibiotics. Broad-spectrum antibiotics kill not only a number of bacteria, but also the normal microflora in the vagina, which can cause yeast overgrowth.
• Increased estrogen levels contribute to the development of yeast infections. This can be both pregnant women and women who use high-dose estrogen birth control pills or if estrogen hormone therapy is being performed.
• Uncontrolled diabetes. Women with poor control and high blood sugar levels are more at risk of developing fungal infections than women who control their blood sugar levels.
• Immune system disorders. Women who are immunosuppressed, such as after corticosteroid therapy or HIV infection, are more at risk of yeast infections.

Prevention

To reduce the risk of vaginal yeast infections, it is recommended to wear loose-fitting underwear with a cotton gusset.

Also recommended:

• Do not use tight tights
• Douche as this flushes out some of the normal bacteria in the vagina that protect against infection.
• Use scented products for women frequently, such as bubble baths, pads, and tampons.
• Extremely hot and whirlpool baths are not recommended
• Do not take antibiotics unnecessarily, such as for colds or other viral infections.
• Avoid prolonged exposure to wet clothing such as swimwear and sportswear.

Diagnosis

To diagnose thrush, a doctor may:

• Ask questions about symptoms and medical history. It is important for the physician to collect information about past vaginal or sexually transmitted infections.
• Perform a gynecological examination. The doctor will examine the external genitalia to look for signs of a fungal infection. Then the doctor will examine the vagina and cervix using a special speculum.
• Collect vaginal secretions. The doctor may send a sample of vaginal fluid for analysis to determine the type of fungus that caused the yeast infection. Identifying the fungus can help your doctor decide on the appropriate treatment, especially if you have recurrent yeast infections.

Treatment

Treatment for yeast infections depends on the severity and frequency of infections.

For mild to moderate symptoms and infrequent episodes, your doctor may recommend:

• Short-term vaginal therapy. Taking antifungal medications for three to seven days usually clears up the yeast infection. Antifungal drugs, in the form of creams, ointments, tablets and suppositories, include miconazole (monistat 3) and terconazole. Some of these medicines can be purchased without a prescription, while others are available by prescription only.
• Single oral dose of the drug. Your doctor may prescribe a single oral dose of fluconazole (Diflucan). But taking such drugs is contraindicated during pregnancy.