THRUSH/FUNGAL INFECTION

See also

Urine infection

Types

• Genital area. Red some rash and white thick discharge.
• Ring Worm. As the fungus grows outward from a central spot it forms a ring on the skin.
• Intertrigo. Moist areas - axillae/natal cleft/between toes (Athlete Foot) - have red itch rash.
• Mouth. White sticky plaques giving some throat/ dysphagia or interfering with feeding.

Danger signs

• Immuncompromised patients may be more vulnerable eg. Diabetes/steroids.
• Genital infections may coexist with venereal disease. Visit GU Clinic if no response.

Notes for children

• Infants often have white "sucking pads" - if discharge or poor feeding suspect oral thrush.
• Steroid inhalers may give rise to oral/ throat dysphonia/oesophageal candida. Use inhalers twice a day - clean teeth after use.

General advice

• Avoid excessive hygiene, ie. overuse of soaps/bubble bath/excessive baths.
• As much ventilation as possible.

Therapy

• Antifungal creams.
• Antifungal dusting powders for feet and shoes.
• Hydrocortisone cream combined with antifungal may hasten symptom relief.
• Anti-histamines for relief itch.

Dictionary

Axilla: armpit.
Dysphonia: difficulty in voice production.
Intertrigo: superficial inflammation of two skin surfces that are in contact, such as between thighs or under breasts.

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