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Fungal Infections
Reena Doshi
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Two major groups
Candida
Dermatophyte
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Candidiasis : Genital
Women > Men Itchy, sore vulvovaginitis White plagues on mucous
membranes White ‘cheesy’ discharge
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Candidiasis : Genital
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Candidiasis: Intertrigo
Red, moist, glazed, itchy Submammary, inguinal, axillary
folds Occasionally between digits
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Candidiasis: Intertrigo
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Candidiasis: Oral
Babies, pts with poor oral hygiene, elderly with false teeth
Sore mouth Poor feeding White plaques on buccal mucosa –
wipe off Angular stomatitis
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Candidiasis: Oral
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Candidiasis: Nappy
Babies Nappy area
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Candidiasis: Chronic paronychia
Wet workers Chronic nail bed inflammation
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Candidiasis: Systemic
Immunosupressed pts esp. HIV,malignancy Red skin nodules
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Candidiasis: Systemic
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Tinea infections…
Obtain scrapings/clippings before starting treatment
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Tinea Corporis: Ringworm
Trunk/limbs Plaques with scaling and erythema
– esp. at edges Lesions enlarge slowly and clear
centrally
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Tinea Corporis: Ringworm
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Tinea Cruris
Groin, upper thigh (scrotum) Common in athletes Men > Women Red plaque with scaling esp. at the
edge – central clearing with active edge
Assoc. with tinea pedis
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Tinea Cruris
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Tinea Pedis: Athletes Foot Feet Young > Old Men > Women Itchy maceration between toes esp.
4th/5th RFs:
Swimming Occlusive footwear Hot weather Communal showers
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Tineqa Pedis
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Tinea Capitis
Hair and scalp Defined inflammed scaly areas May have alopecia with broken
hair shafts
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Tinea Capitis
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Tinea Unguium
Nails Old > Young Toenails > Fingernails Distal to proximal spread Thickening, yellowing and
crumbling of nail plate Assoc with tinea pedis
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Tinea Unguium
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Management: Topical Genital
Imidazole cream, pessaries Nail
If 1-2 nails only: lacquer or paint (1-2x/week) Skin
Imidazole cream , spray, powder Terbinafine cream
Mouth Tongue deposits-brush bd Oral pastilles, suspensions, gels eg nystatin,
miconazole
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Management: Systemic
Recurrent, systemic, extensive or resistant infection
Genital candida: 200mg fluconazole stat
Oral/mucocutaneous/systemic candida:
Eg. Oral fluconazole (1-2/52)
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Management: Systemic
Dermatophyte – Oral terbinafine or itraconazole daily
Skin: 2-4/52 Nails: 3/12
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Thank You!