Candidaintertrigo

Last Updated: 2019-08-27

Author(s): -

Intertrigo candidomycetica

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

  • Lack of hygiene and increased moisture load ensure ideal conditions for the colonisation of C. albicans. From an intertrigo with swelling of the horny layer, a candidaintertrigo develops by colonization of C. albicans. Erosions, macerations and rhagades can form here in the course of time.
  • Predisposing factors:
  • Immunological deficiencies.
  • Warm and humid environment (heavy sweating, clothes impermeable to air)
  • Obesity.
  • Diabetes mellitus.
  • Lack of hygiene.

Rather sharply defined, slightly scaly, often foetal smelling erythema.

  • Clinic.
  • Detection of pathogens with sterile cotton swab (native and culture)
  • Stool test for candida.
  • Serology: Candida haemagglutination test.
  • Daily blood glucose profile for the diagnosis of diabetes mellitus.
  • If a predispositioning underlying disease exists, this should be addressed therapeutically.
  • Nystatin-containing pastes (Multilind®) 2x daily
  • Disinfection with antiseptic envelopes Lavasept®-Lsg. or Octenisept®-Lsg.
  • Drying out of the area with e.g. Tannosynt®-Lsg.
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