CANDIDIASIS

By Gary M. White, MD

Candidiasis


The term candidiasis refers to infection by the yeast Candida. This infection may occur in various locations that may remain moist, e.g. the vagina, inframammary fold, the mouth (see thrush), the penis (candida balanitis), the web spaces (erosio interdigitalis blastomycetica), the groin, etc. Said another way, Candida may secondarily infect an intertrigo. Other candidal infections that affect the skin include chronic mucocutaneous candidiasis, neonatal candidiasis, congenital candidiasis and disseminated candidiasis.

Clinical

The skin is inflamed and red. Scaling may or may not be present. On the mucosa, soft white material accumulates. On the skin, there often are pustules scattered 1-3 cm beyond the edge of the erythema--so called satellite pustules.

Treatment

If in a body fold, drying out the area is important, e.g. with a superabsorbant powder such as Zeasorb AF (an OTC product). In addition if needed, a topical antifungal medication such as Nystatin, spectazole, clotrimazole or miconazole may be given. Oral agents effective against Candida include fluconazole and itraconazole (e.g. 100 mg/day). Terbinafine is less effective. See also thrush.

Additional Pictures

Candidiasis Candidiasis

Candidiasis Candidiasis

Satellite Pustules
Candidiasis

Thrush
Candidiasis

Candidal Onychomycosis
Candidiasis

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