Candida intertrigo

Fungal infection of the intertrigines (axillary, inguinal, perianal, submammary and abdominal folds) with Candida spp. (typically albicans)

• The lack of hygiene and increased exposure to moisture provide ideal conditions for the colonisation of C. albicans. An intertrigo with swelling of the horny layer develops into a candida intertrigo due to colonisation by C. albicans. Erosions, macerations and rhagades can form here in the course of time.

• Predisposing factors:
  • Immunological deficits
  • Humid and warm environment (heavy sweating, air-impermeable clothing)
  • Adiposity
  • Diabetes mellitus
  • Lack of hygiene

More sharply circumscribed, slightly scaly, often foetid-smelling erythema.

• clinic
• Pathogen detection with sterile cotton swab (native and culture)
• Stool examination for Candida
• Serology: Candida haemagglutination test
• Daily blood glucose profile e.g. of diabetes mellitus

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