Fungal skin infection - Mucocutaneous candidiasis

Low urgency
Common-

Infection caused by fungi, being Candida albicans the most frequent.

The factors that predispose to its appearance are: warm weather, tight clothing, humidity, poor hygiene, antibiotic treatments that alter the normal bacterial flora, obesity, diabetes, immunosuppression, etc.

The infection can appear on any part of the body, but it is more common in moist and frequently rubbed areas such as skin folds (armpits, groin, buttocks, submammary), spaces between fingers, genitals, oral mucosa and nails. The skin is reddened, inflamed, and may peel. It appears as plaques of variable size and shape but well demarcated. The affected areas may be itchy, burning or painful. There may be vesicles at the edges and cracks at the bottom, including a thick, whitish fluid. It is called intertrigo when it affects the folds.

It is diagnosed by the appearance of the lesions. It can be confirmed by a skin sample collected by scraping, which under potassium hydroxide staining demonstrates the presence of the fungus.

Treatment consists of good hygiene of the area, leaving the skin well-dried, aerated and avoiding rubbing. Dehydrating agents (e.g. compresses with Burow's solution) and topical antifungals such as azoles can be used.

Bibliographic references
  1. Pappas PG, Kauffman CA, Andes DR, et al. Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America. Clin Infect Dis 2016; 62:e1.
  2. Nenoff P, Krüger C, Paasch U, Ginter-Hanselmayer G. Mycology - an update Part 3: Dermatomycoses: topical and systemic therapy. J Dtsch Dermatol Ges 2015; 13:387.
  3. Kalra MG, Higgins KE, Kinney BS. Intertrigo and secondary skin infections. Am Fam Physician 2014; 89:569.
  4. Calderone RA, Fonzi WA. Virulence factors of Candida albicans. Trends Microbiol 2001; 9:327.
  5. Odds FC. Candida species and virulence. ASM News 1994; 60:313.
Author
Dr. Abel Andrés Orelogio
Copyright
© TeckelMedical 2026

Symptoms

    Rash is redder in skinfolds


    Itchy skin


    Reddened skin


    Chapped skin


    Pustule(s)

Symptoms to watch out for

History of immunodeficiency (HIV, Diabetes Mellitus, oncological disorders, long-term corticosteroid consumption).
Fever (temperature higher than 100.4 ºF)
Persistence of symptoms for more than two weeks after initial treatment
Wet and pale skin
Rapid breathing

Self-care

Consult with your primary care physician about the use of antifungal gels or creams.
Improve oral hygiene.