Yeast infections on skin folds. Candidiasis of the Skin: Causes, Symptoms, and Effective Treatments
What are the main symptoms of skin candidiasis. How can you prevent candida overgrowth on the skin. What are the most effective treatments for cutaneous candidiasis. How does candida infection differ from other skin conditions.
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 explores the causes, symptoms, and treatments for this common skin condition.
Recognizing the Symptoms of Cutaneous Candidiasis
The primary symptom of skin candidiasis is a red, itchy rash. This rash often develops in skin folds where moisture tends to accumulate, such as:
- Armpits
- Groin area
- Between fingers
- Under breasts
- Skin folds in individuals with obesity
In some cases, the infected skin may become cracked, sore, or develop blisters and pustules. Candida can also affect nails, causing infections around the edges and corners of the mouth.
How does candidiasis differ from other skin conditions?
Cutaneous candidiasis can sometimes be mistaken for other skin conditions such as ringworm, hives, or eczema. However, its characteristic appearance in skin folds and response to antifungal treatments help distinguish it from other ailments. A proper diagnosis from a healthcare professional is crucial for effective treatment.
Factors Contributing to Candida Overgrowth on the Skin
Several factors can contribute to the development of cutaneous candidiasis:
- Warm, humid weather
- Tight-fitting clothing
- Poor hygiene practices
- Infrequent changing of undergarments
- Obesity
- Use of antibiotics that disrupt skin flora
- Corticosteroid use or conditions affecting the immune system
- Diabetes or pregnancy
- Incomplete drying after bathing or swimming
Understanding these risk factors can help individuals take preventive measures against Candida overgrowth.
Diagnosis and Treatment Options for Skin Candidiasis
Diagnosing cutaneous candidiasis typically involves a physical examination by a healthcare provider. In some cases, a skin culture may be performed to confirm the presence of Candida fungi. Once diagnosed, treatment options may include:
- Topical antifungal creams or powders
- Oral antifungal medications for severe cases
- Improved hygiene practices
- Lifestyle changes to reduce moisture and friction in affected areas
Are home remedies effective for treating skin candidiasis?
While medical treatments are often necessary, some home remedies can help manage symptoms and prevent recurrence. These include keeping the skin dry, wearing loose-fitting clothing, and using gentle, fragrance-free soaps. However, it’s important to consult with a healthcare provider before relying solely on home remedies, especially for severe or persistent infections.
Preventing Candida Overgrowth: Essential Hygiene Practices
Preventing cutaneous candidiasis primarily involves maintaining good hygiene and creating an environment unfavorable for fungal growth. Key preventive measures include:
- Thoroughly drying the skin after bathing or swimming
- Changing out of damp clothing promptly
- Regularly changing socks and undergarments
- Wearing loose-fitting, breathable clothing
- Using gentle, non-irritating soaps on affected areas
- Incorporating probiotics into the diet
- Reducing sugar intake, as high blood sugar can promote fungal growth
By incorporating these practices into daily routines, individuals can significantly reduce their risk of developing cutaneous candidiasis.
The Role of Diet in Managing Candida Infections
While the direct impact of diet on cutaneous candidiasis is still being studied, maintaining a balanced diet can support overall skin health and immune function. Some dietary considerations include:
- Limiting sugar and refined carbohydrates, which can feed Candida growth
- Incorporating probiotic-rich foods to support beneficial bacteria
- Consuming foods high in vitamins and minerals that support skin health
- Staying hydrated to support the body’s natural detoxification processes
Can dietary changes alone cure skin candidiasis?
While dietary modifications can support overall health and potentially reduce the risk of Candida overgrowth, they are not a substitute for medical treatment in cases of active infection. A combination of proper medical care and lifestyle changes typically yields the best results in managing cutaneous candidiasis.
Special Considerations: Candidiasis in Infants and Immunocompromised Individuals
Certain populations may be more susceptible to cutaneous candidiasis or experience more severe symptoms:
Candidiasis in Infants
Babies are particularly prone to developing candidiasis in the diaper area due to the warm, moist environment. Regular diaper changes, proper cleaning, and allowing the skin to dry completely can help prevent and manage these infections.
Immunocompromised Individuals
People with weakened immune systems, such as those with HIV/AIDS or undergoing chemotherapy, may be more susceptible to Candida infections and may experience more severe symptoms. These individuals should work closely with their healthcare providers to manage and prevent fungal overgrowth.
When to Seek Medical Attention for Skin Candidiasis
While many cases of cutaneous candidiasis can be managed with over-the-counter treatments and improved hygiene, certain situations warrant medical attention:
- Persistent or worsening symptoms despite home treatment
- Spread of the infection to large areas of the body
- Development of fever or other systemic symptoms
- Recurrent infections
- Infections in individuals with compromised immune systems
Prompt medical evaluation can ensure appropriate treatment and prevent complications.
The Impact of Candidiasis on Quality of Life
While cutaneous candidiasis is generally not a serious condition, it can significantly impact an individual’s quality of life. The persistent itching, discomfort, and visible rash can cause embarrassment and affect self-esteem. Additionally, the need for ongoing management and lifestyle modifications can be frustrating for some individuals.
How can individuals cope with the psychological effects of chronic candidiasis?
Coping strategies may include:
– Educating oneself about the condition to feel more in control
– Joining support groups or online communities to connect with others experiencing similar challenges
– Practicing stress-reduction techniques, as stress can exacerbate symptoms
– Working with a mental health professional if the condition is causing significant distress or anxiety
By addressing both the physical and emotional aspects of cutaneous candidiasis, individuals can better manage the condition and maintain a good quality of life.
Emerging Research and Future Treatments for Cutaneous Candidiasis
The field of mycology, which includes the study of fungal infections like candidiasis, is continuously evolving. Researchers are exploring new treatment options and preventive strategies to combat Candida infections more effectively. Some areas of ongoing research include:
- Development of new antifungal medications with fewer side effects
- Investigation of natural compounds with antifungal properties
- Studies on the relationship between the skin microbiome and Candida overgrowth
- Exploration of immunotherapies to enhance the body’s natural defenses against fungal infections
What promising developments are on the horizon for candidiasis treatment?
While specific breakthroughs are still in the research phase, scientists are exploring targeted therapies that could disrupt Candida’s ability to adhere to skin cells or form biofilms. Additionally, there’s growing interest in personalized treatment approaches based on an individual’s unique skin microbiome composition.
Living with Candidiasis: Long-term Management Strategies
For individuals prone to recurrent cutaneous candidiasis, developing a long-term management strategy is crucial. This may involve:
- Regular use of preventive measures, even when symptoms are not present
- Working with a healthcare provider to identify and address underlying risk factors
- Developing a skincare routine that supports overall skin health
- Being mindful of environmental factors that may trigger flare-ups
- Maintaining open communication with healthcare providers about symptom changes or new concerns
How can individuals create an effective long-term management plan for cutaneous candidiasis?
Creating an effective management plan often involves collaboration between the individual and their healthcare provider. This may include:
– Regular check-ups to monitor the condition
– Adjusting treatments as needed based on symptom severity and frequency
– Incorporating lifestyle modifications that support overall health and reduce risk factors
– Staying informed about new developments in candidiasis treatment and prevention
By taking a proactive approach to management, individuals can often achieve better control over their symptoms and reduce the impact of cutaneous candidiasis on their daily lives.
The Importance of Skin Health in Overall Wellness
Cutaneous candidiasis serves as a reminder of the important role our skin plays in overall health and well-being. As the body’s largest organ, the skin acts as a barrier against infections and environmental stressors. Maintaining healthy skin through proper hygiene, nutrition, and care not only helps prevent conditions like candidiasis but also supports general health and immunity.
How does skin health contribute to overall wellness?
Healthy skin contributes to overall wellness in several ways:
– It provides a physical barrier against pathogens and environmental toxins
– It helps regulate body temperature
– It plays a role in vitamin D synthesis
– It contributes to our sense of touch and overall sensory experiences
– It impacts our self-image and psychological well-being
By prioritizing skin health through proper care and addressing issues like cutaneous candidiasis promptly, individuals can support their overall health and quality of life.
Candidiasis of the Skin: Causes, Symptoms, and Treatment
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Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:
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- Fact-check all health claims: Do they align with the current body of scientific evidence?
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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.
Was this helpful?
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.
A:
Answers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.
Was this helpful?
Candidiasis of the Skin: Causes, Symptoms, and Treatment
We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process.
Healthline only shows you brands and products that we stand behind.
Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:
- Evaluate ingredients and composition: Do they have the potential to cause harm?
- Fact-check all health claims: Do they align with the current body of scientific evidence?
- Assess the brand: Does it operate with integrity and adhere to industry best practices?
We do the research so you can find trusted products for your health and wellness.
Read more about our vetting process.
Was this helpful?
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.
Was this helpful?
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.
A:
Answers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.
Was this helpful?
Skin fungus – health articles
11/10/2022
Skin fungus (mycosis) is a common fungal disease that is caused by parasitic, pathogenic fungi. The type of fungus that has entered the human body determines the nature of the course of the disease. There are skin fungus, foot fungus, hair fungus.
Types and symptoms of skin fungus
Keratomycosis
. Usually proceed without itching and inflammation. Caused by fungi living in the superficial layers of the skin and the stratum corneum of the hair. In this group, the most common skin diseases are versicolor versicolor.
Dermatophytosis
. These fungi live in the deeper layers of the skin and cause inflammation at the site of localization. These include diseases such as trichophytosis, epidermophytosis, microsporia, rubrophytosis and scab. Epidermophytosis – a fungus settles in the skin of the interdigital folds of the feet and soles, causing peeling. Then bubbles appear, which open up and form painful, itchy, weeping, inflamed areas. Then all manifestations disappear, and the disease passes into a chronic stage with an exacerbation in the warmer season. Over time, the nails fade, yellow spots appear and a thickening of the nail plate appears. With trichophytosis, this disease is also called ringworm, skin, nails and hair are affected. Infection is possible through personal contact with sick people and animals, and after a week a rapidly growing, scaly red spot appears.
Yeast infections
, or candidiasis, are caused by fungi of the genus Candida. These yeasts are usually present on the surface of the skin, but under favorable circumstances, they begin to overgrow. There is redness, peeling, itching, rash. Most often, this infection affects the armpits, groin, and skin folds at the flexion points. People who are obese, diabetic, and taking antibiotics are especially susceptible to Candida infection.
Deep mycoses
. They affect the skin and subcutaneous tissue, as well as internal organs and cause inflammation in them. These diseases are much less common and their treatment is more serious and lengthy.
Prolonged exposure to the fungus has a negative effect on the entire body. Toxins released during the life of the fungus have a general toxic effect, as a result of which bacterial and viral complications, drug intolerance, and exacerbation of chronic diseases can occur. Therefore, if the symptoms described above appear, you should definitely consult a doctor.
Causes
– insufficient adherence to personal hygiene rules
– various skin injuries
– decreased immunity
– metabolic disorders, endocrine diseases (diabetes mellitus, diseases of the thyroid gland and adrenal glands)
– gastrointestinal diseases associated with impaired digestion and insufficient absorption of nutrients
– uncontrolled and prolonged use of antibiotics, the use of certain drugs, including oral contraceptives and corticosteroids
– constant stress and long-term lack of rest
– smoking and alcohol abuse.
Diagnosis and treatment
To successfully cure a skin fungus, it is necessary to accurately determine the type of fungus using a laboratory test. The doctor takes into account not only the type of fungus and the degree of spread of the focus of the disease, the degree of inflammation, but the effectiveness and safety of the drug individually for each patient. The duration of treatment is also controlled depending on the location of the infection and the severity of the disease.
Treatment of skin fungus includes: applying creams, ointments, aerosols, taking immunostimulating drugs.
Prevention of skin fungus:
– immediate treatment of acute diseases and planned treatment of chronic diseases of internal organs
– proper and healthy nutrition, additional intake of vitamins and minerals
– prevention of skin and nail injuries
– wearing only personal shoes in the pool and sauna
– using only your own clothes, shoes and underwear
Considering the factors contributing to the development of fungal infection and the prevention of skin fungus, please note that a healthy lifestyle plays an important role.
Yeast infections: diseases, treatment and preparations
Where can I buy?
Encyclopedia
Fungus
Skin and/or mucous membrane lesions caused by yeast fungi are called yeast infections.
The author of the article
Moshkova Elena Mikhailovna
Dermatovenereologist, head of the KDO for the provision of paid services, St. Petersburg State Budgetary Institution of Health “City Dermatovenerologic Dispensary”, St. Petersburg.
What yeast-like fungi cause disease in humans
Both bacteria and fungal microorganisms normally live on human skin. In small quantities, they are part of the normal microflora of the skin. Yeasts and yeast-like fungi can also live on the skin without causing any skin disease. However, if adverse factors occur (decreased immunity, impaired microflora), fungi begin to actively multiply, their number increases and leads to the development of the disease.
How is skin fungus treated? Watch in a two-minute video with Doctor of Medical Sciences, Professor of the Russian Academy of Sciences Olga Borisovna Tamrazova
Fungi of the genus Malassezia
Yeast-like fungi of the genus Malassezia – the cause of skin dermatosis: seborrheic dermatitis and versicolor (pityriasis) versicolor 90 079 . Approximately 20% of people experience occasional cases of seborrheic dermatitis. And 10% of the population suffers from multicolored (pityriasis) lichen 3 .
Fungi of the genus Candida
Yeast fungi of the genus Candida – causative agents of candidiasis of the skin, mucous membranes and internal organs. Fungi of the genus Candida are conditionally pathogenic microorganisms, for the existence of which the presence of oxygen in the environment is an optional condition. This explains the possibility of candidiasis of internal organs.
Up to 30-50% of the population carry Candida on their skin. This type of fungus can colonize the mucous membrane of the mouth, intestines, and the genitourinary system.
How fungi of the genus Candida affect human health
Cause itching and dry skin
Provoke the appearance of a white coating on the tongue and bad breath
Contribute to vaginal candidiasis
Affect the feet
900 02 Of the 150 existing species of Candida, 20 species are the causative agents of candidiasis . Most often, Candida albicans, C.tropicalis, C.parapsilosis, C.glabrata 1 are found in patients.
Skin may show C. albicans, C. parapsilosis, C. guillermondii, C. kefyr 1 . However, skin candidiasis usually develops due to the presence of Candida albicans , other types of Candida cause skin lesions much less 1 .
The cause of candidiasis of the genitourinary system in almost 90% of people is C. albicans, in 10% – C. krusei, C. glabrata and others 1 .
Sites of localization of yeast infections. Symptoms
Seborrheic dermatitis
Seborrheic dermatitis most often occurs on the face and scalp. But the process can be widespread and localized in other seborrheic areas of the body (skin of the back, chest). Rashes are represented by pink spots with peeling on the surface. Sometimes the inflammation is so severe that itching and excessive moisture of the skin (weeping) appear. Often the only manifestation of seborrheic dermatitis is dandruff.
Pityriasis versicolor (pityriasis)
With versicolor versicolor, there is no skin inflammation, so patients are only concerned about the aesthetic component of dermatosis. Spots up to 1 cm usually appear on parts of the body with excessive sweating. The color of the rashes can vary from beige to pink, over time the spots merge into large foci.
Candidiasis of the skin and oral mucosa
Candidiasis of the skin often occurs in the interdigital, axillary, inguinal folds, on the skin under the mammary glands, the fold of the abdomen.
Large fold candidiasis
Large fold candidiasis doctors also call Candida intertrigo 2 . At the bottom of the fold, small bubbles appear, which open up, exposing bright pink with a bluish tinge of skin erosion. Over time, defects in the upper layer of the skin increase in size, merge and can completely spread to the entire surface of a large fold. The erosive surface is wet with a lacquer sheen. A whitish coating may be present. On the periphery of candidal foci, screenings can be found – islands of skin with small vesicles, pustules or small erosions.
Candidiasis of the interdigital folds of the hands often occurs in housewives, catering workers. The predisposing factor is constant contact with water. Often only one interdigital fold on the “working” hand is affected. There is redness, itching, there may be cracks.
Smooth skin candidiasis
Smooth skin candidiasis is more often a complication of an underlying dermatological disease, such as atopic dermatitis or due to the spread of a fungal infection from the skin of large folds.
Candidiasis of the nail folds and nails
Redness, swelling, pain appear at the site of the fungus penetration into the skin of the periungual fold. When pressing on the periungual roller, there are no purulent compartments, in contrast to inflammation of a bacterial nature. And brownish transverse grooves appear on the nail plate, the nail thickens, loses its luster.
Urogenital candidiasis
This disease does not apply to infections that are sexually transmitted 2 .
In men, candidal balanitis, balanoposthitis and urethritis are more common.
Men report the following symptoms: 3
- Redness, whitish coating, swelling, itching, burning in the area of the glans penis
- Painful urination and intercourse
See how thrush is treated in a short video by professor, doctor of medical sciences, Evgenia Valerievna Shikh
Vulvovaginal candidiasis (thrush) occurs in women – Candida fungi damage the mucous membrane of the external genitalia and vagina.
More than 70% of women have had an episode of urogenital candidiasis at least once in their lives. And 15% of them had repeated episodes of this disease 3 .
Women note: 3
- White curdled discharge from the genital tract
- Itching, burning
- Painful urination and intercourse
Predisposing factors for yeast infections
Predisposing factors for yeast infections: 3
- Long-term antibiotic therapy
- Taking anticancer drugs (cytostatics)
- Uncompensated diabetes mellitus
- Immunodeficiency
- Hormonal disorders
Predisposing factors for skin candidiasis include: prolonged contact with water, skin abrasions, excess weight. For the development of oral candidiasis – traumatization of the mucous membrane, for example, when wearing dentures, braces.
Diagnosis of yeast infections
Diagnosis of skin candidiasis is based on the clinical picture of the disease. The doctor may additionally prescribe a skin scraping test for the presence of Candida fungi.
In the diagnosis of urogenital candidiasis, microscopic and cultural methods with the determination of the type of fungus of the genus Candida and its sensitivity to antifungal drugs are of great importance 3 . And with the help of special test systems, you can detect DNA fragments of the causative agent of urogenital candidiasis.
Diagnosis of diseases caused by fungi of the genus Malassezia is based on examination of skin manifestations, dermatoscopy, examination of skin scrapings for fungi, determination of the Besnier phenomenon (peeling of the rash when scraped with a fingernail or spatula) and Balzer’s test (5% alcohol solution of iodine is applied to the affected area with Entrapment of healthy skin.Increased staining of the rash compared to areas of healthy skin indicates the presence of fungi of the genus Malassezia).
Treatment of yeast infections
Treatment of candidiasis of the skin consists of:
1) Use of topical antifungals in the form of cream/ointment, solution, spray
2) Eliminate the source of the pathogen in the intestines or genitourinary tract, for this prescribe antifungal drugs for oral administration
3) Elimination or correction of provoking factors
Treatment of urogenital candidiasis consists of:0003
2) Prescription of anti-allergic drugs
3) Vitamin therapy
(Immunomodulatory drugs are recommended in some cases)
, creams, ointments) and for oral administration (tablets, capsules). Most often, it is possible to solve the problem with external antifungal agents. However, with widespread rashes, severe persistent course, drugs are prescribed for oral administration
The use of antiseptic or antibacterial drugs when connecting a bacterial infection to the weeping areas of the skin
of the use of combined drugs containing anti -inflammatory hormone, antibiotic and antifungal components, if skin soreness occurs
for candidiasis of the skin, seborrheic dermatitis, multi -colored) external antifungal medicines: sertaconazole, clotrimazole, ketoconazole, terbinafine. For example, appointment Zalain ® cream 2% (sertaconazole) promotes healing better than other drugs (versus clotrimazole) 5 .
Sertaconazole-based cream (Zalain®) for yeast infections
Sertaconazole-based products (Zalain ® ) are available in the form of suppositories and cream.
When Zalain ® cream is applied topically for two weeks, the components of the drug are not detected in the blood and urine, which indicates a high safety profile of the drug 7 .
Sertaconazole has a triple action: it prevents the growth and reproduction of fungi, promotes their death, and also prevents the transition of fungi from a passive form to a pathogenic one (only for fungi of the genus Candida) 15 .
Instruction
Zalain ® Yeast Infection Cream
How to use Zalain Cream ®
In case of skin candidiasis, seborrheic dermatitis, pityriasis versicolor Zalain ® cream is applied 2 times a day in a thin layer covering healthy skin for 2-4 weeks 6 .
Topical and systemic antifungal therapy may be indicated for the treatment of urogenital candidiasis.
Urogenital candidiasis in men can be treated externally:
- Zalain ® cream is applied 2 times a day in a thin layer for 14 days 6 .
Triple effect: antifungal, antipruritic, anti-inflammatory
Used 1-2 times a day
Where to buy Zalain ® Yeast Infection Cream
or
Find the nearest pharmacy
Zalain ® Suppositories
Cream based on sertaconazole (Zalain ® ) for the treatment of fungal infections al tablets or suppositories (suppositories).
Doctors also recommend vaginal suppositories based on sertaconazole (Zalain ® ). One suppository is inserted into the vagina 1 time. The use of 1 vaginal suppository is explained by the fact that sertaconazole has a high lipophilicity – it dissolves well in lipid (fat) cell structures. Due to this, the drug remains in the vaginal mucosa for a long time (7 days) at a therapeutic concentration, having a triple mechanism of action on Candida fungi. For women, this prescription of the drug is very convenient.
Unlike other drugs for the treatment of urogenital candidiasis, the effect of Zalain ® suppositories is observed with a single application of 7 . If necessary (maintenance of clinical symptoms), treatment can be repeated after 1 week 7 . The doctor may recommend Zalain ® suppositories to pregnant women if necessary.
The use of specially adapted intimate hygiene gels helps maintain a healthy microflora of the vulva and resist infections.
Only 1 suppository per course
Local effect of the drug
Absorption of sertaconazole into the bloodstream does not occur 13
Can be used during pregnancy and lactation*
Where to buy Zalain ® Candles
Instruction
Why is 1 candle valid for 7 days?
Zalagel ® Intim
Antiseptic properties of components Zalagel ® Intim
Zalagel ® Intim gel-soap, gently cleanses the skin of the intimate area, has a calming effect ohm and helps to reduce the feeling of discomfort.
U Zalagel ® Intim Mild alkaline pH (8-9), creating a destructive environment for fungi of the genus Candida (causative agents of thrush). The betaine component, which is part of the gel, prevents dryness of the intimate area, maintains the physiological balance of the skin and mucous membranes.
Gently cleanses the intimate area
Creates a destructive environment for fungi of the Candida genus
Protects the female genital organs from infections
Tea tree oil in the composition of the product has an antibacterial and antiviral effect
Reduces itching and irritation 9000 3
Where to buy Zalagel ® Intimacy
or
Find the nearest pharmacy
Instruction
Answers to questions
How to understand that thrush has become chronic?
Answer: Four or more episodes of thrush per year are in favor of chronic recurrent urogenital candidiasis.
How long does the treatment for versicolor take?
Answer: Treatment of multicolored lichen, as a rule, consists in prescribing external antifungal therapy. The duration of treatment is selected individually and usually lasts at least 2 weeks.
Is it possible to wet the skin with candidiasis of the folds?
Answer: In the acute period of the disease, until the skin process stabilizes, it is necessary to limit contact with water.
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Sources
- Russian clinical guidelines.
- Textbook “Skin and venereal diseases” edited by O.L. Ivanov., 2010.
- National Guide to Dermatovenereology edited by prof. Yu.S. Butova, acad. RAMS Yu. K. Skripkina, prof. O.L. Ivanov.
- Clinical guidelines of the Russian Federation, Urogenital candidiasis 2019
- Efficacy and safety study of Zalain® 2% cream in the treatment of skin mycoses. IG Sergeeva, Yu. M. Krinitsyna Novosibirsk State University.
- Register of Medicines of Russia, official instructions for the active ingredient Sertaconazole.
- Register of Medicines of Russia, official instructions for Zalain® 2% cream.
- Register of Medicines of Russia, official instructions Zalain 300 mg, vaginal suppositories.
- RMJ No. 9, 2015. “Vulvovaginal candidiasis. The use of Zalain in clinical practice. E. S. Vanke, N. S. Vanke.
- Mondello F, De Bernardis F, Girolamo A, Cassone A, Salvatore G. In vivo activity of terpinen-4-ol, the main bioactive component of Melaleuca alternifolia Cheel (tea tree) oil against azole-susceptible and -resistant human pathogenic Candida sp. BMC Infect Dis. 2006;6:158.
- Hammer KA, Carson CF, Riley TV. In vitro susceptibilities of lactobacilli and organisms associated with bacterial vaginosis to Melaleuca alternifolia (tea tree) oil. Antimicrob Agents Chemother 1999;43:196.
- Pena EF. Melaleuca alternifolia oil. Its use for trichomonal vaginitis and other vaginal infections. Obstet Gynecol 1962;19:793-5.
- Astani A, Reichling J, Schnitzler P. Comparative study on the antiviral activity of selected monoterpenes derived from essential oils.