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Yeast on skin causes: Yeast Infection | Johns Hopkins Medicine

Yeast Infection | Johns Hopkins Medicine

What is a yeast infection?

Yeast is a fungus normally found on your skin. It’s also found in your digestive system. If you’re a woman, you also have yeast in your vaginal area. When too much yeast grows on your skin or other areas, it can cause an infection. This infection is also called candidiasis.

What causes a yeast infection?

A yeast infection can happen if your skin gets damaged. Yeast can also “overgrow” in warm or humid conditions. An infection can also happen if you have a weak immune system. Taking antibiotics can also cause an overgrowth of yeast. That’s because antibiotics kill the healthy bacteria in your body that normally keep the yeast in balance.

What are the risk factors for yeast infection?

Anyone can get a yeast infection. Those at higher risk for it include:

  • Infants
  • People who wear dentures
  • People taking antibiotics
  • People getting cancer treatment
  • People with other health conditions, such as HIV or diabetes

What are the symptoms of a yeast infection?

The symptoms of a yeast infection depend on where it is located in the body. The chart below shows the most common symptoms of a yeast infection. But yours may be slightly different.

Location

Symptoms

Skin folds or navel

  • Rash with redness and skin breakdown
  • Patches that ooze clear fluid
  • Pimples
  • Itching or burning

Vagina

  • White or yellow discharge from the vagina
  • Itching
  • Redness in the external area of the vagina
  • Burning

Penis

  • Redness on the underside of the penis
  • Scaling on the underside of the penis
  • Painful rash on the underside of the penis

Mouth (thrush)

  • White patches on the tongue and inside of the cheeks
  • Redness or soreness 
  • Difficulty swallowing may mean you have yeast in your esophagus 

Corners of the mouth (angular cheilitis)

  • Cracks and/or tiny cuts at the corners of the mouth

Nail beds

  • Swelling
  • Pain
  • Pus
  • White or yellow nail that separates from the nail bed

The symptoms of a yeast infection may look like other skin conditions. Always see your healthcare provider for a diagnosis.

How is yeast infection diagnosed?

Your healthcare provider will ask about your symptoms and medical history. He or she will also give you a physical exam. He or she may scrape off a bit of skin or remove part of a nail and examine it to confirm the diagnosis.

How is yeast infection treated?

Your healthcare provider will consider your age, overall health, how widespread the infection is and other factors to determine your treatment.

Yeast infections can be easily treated with ointments or other anti-yeast (antifungal) creams.

  • Yeast infections of the vagina or penis can be treated with creams or medicated suppositories. Sometimes an oral anti-yeast medicine is used.
  • Yeast infection in the mouth (thrush) may be treated with a medicated mouthwash. Or it may be treated with lozenges that dissolve in the mouth.
  • If you have a severe infection and have a weak immune system, you may need to take an oral anti-yeast medicine.
  • Esophageal yeast infections are usually treated with oral or intravenous anti-yeast medicines.
  • Yeast infections of the nails are treated with an oral anti-yeast medicine.
  • Yeast infections in the skin folds can be treated with anti-yeast powders.

Can a yeast infection be prevented?

You can prevent some yeast infections by doing these things:

  • Use good oral hygiene to help prevent yeast infection in your mouth (thrush). This includes brushing and flossing your teeth every day and using mouthwash as needed.
  • Wear cotton underwear to help to prevent a vaginal or genital yeast infection. If you are a woman and get vaginal yeast infections often, you may want to take probiotics.
  • Keep areas where skin rubs up against skin dry and try to reduce friction.

When should I call my healthcare provider?

If you get symptoms of infection, such as warm, reddened skin or drainage, tell your healthcare provider. A secondary bacterial infection can happen, so monitor for spreading redness, or swelling, or pain.

Key points about yeast infection

  • Yeast infection is caused by yeast on the skin or mucous membranes.
  • The symptoms of a yeast infection depend on where it happens on your body. Common symptoms are a rash, white discharge, or itching.
  • Yeast infections are treated with medicated ointments or other anti-yeast (antifungal) preparations.

Next steps

Tips to help you get the most from a visit to your healthcare provider:

  • Know the reason for your visit and what you want to happen.
  • Before your visit, write down questions you want answered.
  • Bring someone with you to help you ask questions and remember what your provider tells you.
  • At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
  • Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
  • Ask if your condition can be treated in other ways.
  • Know why a test or procedure is recommended and what the results could mean.
  • Know what to expect if you do not take the medicine or have the test or procedure.
  • If you have a follow-up appointment, write down the date, time, and purpose for that visit.
  • Know how you can contact your provider if you have questions.

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.

A:

Answers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.

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types and diagnostics – “Sensitive”

Yeast fungus is one of the types of mycosis that affects the skin, as well as mucous membranes, nails. Pathogenic yeast for quite a long time does not manifest itself in any way when it enters the human body. In order for the first symptoms to appear, provoking factors are required. So, for example, a cold, an infection can provoke increased growth and division of Candida fungi, and this already causes the appearance of obvious symptoms that cause discomfort.

The following stimulating factors are involved in the activation of cell division of the fungus

  • Prolonged wearing of tight-fitting synthetic underwear
  • Being overweight;
  • Constant use of hygiene and care products with harmful additives,
  • Abuse of sweet foods,
  • Treatment with immunosuppressants or immunomodulators;
  • Pathologies that suppress the immune system;
  • Sudden change in hormonal levels;
  • High blood sugar;
  • Abuse of steroid drugs;
  • Treatment with strong antibiotics.

Yeast fungus localization and symptoms

Yeast fungi can be localized on different parts of the body, scrapings from the mucous membranes, from the skin are taken for diagnosis, feces are analyzed, and the material of the nail plates is analyzed. The fungus can be localized:

  1. On the genitourinary organs: localization on the mucous membranes of the genital organs causes thrush, which is called urogenital. The external genital organs suffer, in women the nipples also.
  2. Oral cavity: most often the fungus affects the child, and can be expressed in diseases such as candidiasis seizures; candidal cheilitis; candidiasis stomatitis; candida glossitis. A fungus that affects the entire oral cavity is called oropharyngeal candidiasis.
  3. Nails and periungual tissues: more common in men, and can be expressed in such forms as: lateral; distal; proximal; total. The complexity of the treatment of this fungus lies in the fact that the fungus affects most of the nail tissue, which leads to its death.
  4. Internal organs: the rarest and most dangerous form of the disease, which can be expressed in several forms: candidal endocarditis; gastric candidiasis; candidal meningitis; candidiasis of different parts of the intestine; pulmonary candidiasis; candidiasis of the urinary system; candidiasis of the ears and eyes.

If the fungus is localized on the extremities, then the first symptoms are the appearance of cracks that cause pain and discomfort. Crimson spots, calluses appear, which eventually transform into erosion.

Fungus of the nail plate is manifested by the fact that its color changes to purple, green or black, and if treatment is not started, the entire nail plate is destroyed. On the skin, yeast fungus is manifested by redness and peeling with slight itching. On the scalp, the fungus is also manifested by peeling, itching and dandruff. The defeat of the mucous membranes is expressed by redness, the formation of a white coating, and if the genitals are affected, then discharge with a bad smell begins.

Diagnosis of yeast fungus

In the medical center of Yeysk “Sensitive” a full-fledged comprehensive diagnostics for yeast infection is carried out. For analysis, biological materials such as smears from mucous membranes, scrapings from the skin, nails, head, feces, urine are taken. The collection of feces and urine allows you to identify a yeast fungus of the internal organs. To determine the urogenital fungus, a swab is taken from the vagina or glans penis. Before prescribing treatment, it is necessary to check the sensitivity of pathogenic microflora to various active substances contained in antifungal drugs.

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Fungal infections
According to official international statistics on the prevalence in the world

, fungal infections have been ranked second among all skin diseases for many years in a row. They not only reduce the quality of life and cause discomfort, but also provoke allergic reactions, chronic inflammatory processes and many other pathologies.

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Due to the peculiarities of their microbiological nature, fungal diseases can be actively transmitted from the carrier to a healthy person, and in addition to the skin, affect the nail plates, hair, internal organs and cause their various pathogenic changes. Some fungi are prone to recurrence, have a fairly long incubation period and very similar external manifestations. At the same time, some types of mycoses are treated only with oral preparations, others with cutaneous forms, therefore it is absolutely impossible to self-medicate and contact specialists at the first symptoms.

When tests for fungal infections are ordered

By external signs, it is only possible to initially diagnose a fungal disease. Therefore, with redness of the skin, focal lesions of the smooth and hairline, as well as with itching in the foot or skin folds, changes in the shape and color of the nail plate, dermatologists prescribe laboratory tests. This allows you to correctly diagnose the nosological form, and, therefore, to select the most effective set of therapy, take the necessary measures to localize the infection and minimize possible side effects.

Types of fungal diseases

Microscopic pathogenic fungi in medical practice have a common name – mycosis (Greek mycosis). Today, more than 100 species of parasitic and pathogenic microfungi are classified, and we will single out the main infections that affect adults and children.

Dermatomycosis

Common fungal diseases that affect the skin, nails and hair. The source of infection can be a person or an animal. They manifest themselves with various symptoms, we will only indicate the most common diseases in our geographical area:

  • rubromycosis is a disease caused by the anthropophilic fungus Trichophyton rubrum. Differs in a variety of clinical manifestations and localization of foci on any part of the body, can affect smooth skin, hair follicles and nails;
  • mycosis of the foot (epidermophytosis), also affecting the interdigital folds. Very similar to candidal lesion, and sometimes there is a polymycotic infection;
  • favus – a rare form accompanied by severe baldness of the head. Can be transmitted through combs, underwear, and shaving and haircutting tools;
  • microsporia – trichomycosis caused by the microsporum fungus. On smooth skin it appears as red spots of a clear shape with a peripheral roller, and on the scalp – with small scaly foci;
  • trichophytosis (synonymous with ringworm). Outwardly, it is manifested by pink-red focal lesions of the skin on any part of the body;
  • epidermophytosis of skin folds . Accompanied by itching, redness and peeling.

Keratomycosis

Mycoses predominantly of the stratum corneum. Among them, the most famous are piedra, erythrasma and bran lichen.
Superficial mycoses are often ignored by many ordinary people, because if multi-colored lichen can be primarily identified by yellowish-brown spots covered with pityriasis scales, then erythrasma is often perceived as age-related darkening of the skin. This is due to the fact that the disease progresses slowly and is localized on the inner surface of the thighs, in the inguinal folds and under the mammary glands in women. The dim darkening of the skin affected by erythrasma is covered with small scaly scales, and although the disease almost does not cause itching, it sharply reduces the protective properties of the skin and spoils the appearance of the infected.

Candidiasis

Diseases caused by yeast-like fungi of the genus Candidosis, which includes more than 150 varieties. They are considered the most dangerous and most common, as they are found throughout the world and can be transmitted from people, birds and pets. In this case, in addition to skin manifestations of candidiasis can:

  • affect mucous membranes;
  • penetrate deeply into tissues and organs;
  • cause septic diseases and allergic changes in the body.

Candidiasis can manifest as a localized and widespread rash on the hands and feet, lesions of the nail folds and scalp, in the form of stomatitis, cheilitis and gingivitis. With internal infection, they cause vulvovaginitis, urethritis, pleuropneumonia, endocrites, meningitis and other diseases.

Visceral and systemic mycoses

Fungal lesions of internal organs caused by infection with taxonomic microfungi and accompanied by severe lesions of the skin, visceral (internal) organs, subcutaneous tissue, nervous system, and even the musculoskeletal system. This group includes more than two dozen fungi, among which there are pathogenic and conditionally pathogenic. The most common are actinomycosis, aspergillosis, histoplasmosis, coccidiodiasis, sporotrichosis, chromomycosis and others.
As a rule, deep mycoses are transmitted indirectly and are difficult to diagnose. Some pathogens demonstrate amazing survivability and resistance to drug therapy, high pathogenicity and significant contagiousness, and can lead to disability and death. Most systemic mycoses act as opportunistic infections in patients with hepatitis and AIDS.

Methods for the diagnosis of fungal infections

Microbiological methods

Microscopy is the most accessible and simple diagnostic method. The study is aimed at confirming infection with superficial mycosis, for which biological material is taken from the patient, which is potentially considered infected: scraping of a pathologically altered nail or skin, eyelash, hair. It refers to qualitative analyzes and allows only to establish or refute the fact of infection. The study takes several days: the resulting material is processed (stained) in a certain way and transferred to microscopic examination to identify elements of the fungus (spores, hyphae).
Microscopy allows you to quickly confirm mycosis, but the type of pathogen and its quantitative concentration is established only for yeast-like and mold species. Therefore, it is often supplemented by cultural research (bakposev). The results of microbiological studies must be interpreted by the attending specialist.

ELISA

Enzyme immunoassay is a modern and highly reliable method for identifying fungi in a patient’s venous blood. It is a qualitative and quantitative method and can be used as a primary diagnosis and act as a confirmatory analysis of superficial and visceral mycoses.

The method is based on the detection and identification of an immunoglobulin protein to a specific pathogen. Antibodies and antigens provide reliable information about infection with aspargillosis, candidiasis, cryptococcus and dimorphic microfungi. The result of the test is interpreted as “positive” (there is infection) or “negative” (no fungal infection). In some cases, the study may give a questionable result, as a rule, this happens if the patient has recently taken antibacterial drugs.

The study takes from 1 to 5 days. If it is required to reveal the dynamics of the disease, ELISA is carried out at intervals of 14 days.

PCR

High-precision research method based on polymerase chain reaction and taking no more than 3 days. It can be used to register any fungal pathogens, but has one drawback – directed research. This means that the laboratory must obtain information on the specific microfungal species whose spores and hyphae are to be identified.
Blood, sputum, prostate secretion or urine can be provided for analysis, but in the last three options it is necessary to ensure the maximum purity of the biological material. The most effective and expedient in the complex diagnosis of systemic and visceral forms of fungal diseases. The study gives qualitative and quantitative results that are interpreted only by the attending physician.

Serological method

Classical studies, in which IgG-prepitins, enolase antigens, proteinases and mannoproteins are more often detected. The study is variable and may be based on the agglutination reaction, titration and RSK. They allow you to get information only about the fact of carrying a mycotic infection or testify to a previously transferred fungal disease.
The analysis may be based on the study of blood serum. With extensive serodiagnosis, the detection of a microfungus can also be carried out in other physiological fluids of the patient.

The results are interpreted by the treating specialist. At the same time, the serological method is often used as a control study for subsequent correction of therapy and determining the effectiveness of treatment.

Risk groups and prevention of fungal infections

Fungal pathogens in a minimal amount are found on the skin of any person. But the uncontrolled use of medicines, especially hormones and antibiotics, can provoke their active growth and subsequent lesions. It should also be noted that deep mycotic infections can enter the body through open wounds. Compliance with the sanitary rules for the treatment of any injuries associated with a violation of the skin minimizes the risks of disease with systemic and visceral microfungi.

High humidity and a constant positive temperature are an ideal environment for the life and reproduction of microscopic fungi. Accordingly, the risk group a priori includes employees and visitors to swimming pools, fitness clubs, bath complexes, spas, as well as employees of laundries and catering establishments.
People with a weakened immune system, a depressed nervous system, a tendency to allergies, a critical underweight and metabolic disorders are also prone to fungal infections. Therefore, the most effective prevention is to strengthen the immune system, impeccable observance of the rules of personal hygiene and systematic examinations by a therapist and a dermatologist.