Fungal skin infection - Mucocutaneous candidiasis

Low urgency
Common-

Fungi infection, being Candida albicans the most common one.

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 in any part of the body, but it is more common in moist and frequently rubbed areas, such as skin folds (armpits, groin, buttocks, submammary tissue), spaces between fingers, genitals, oral mucosa and nails. The skin is reddened, inflamed and may be flaky. It appears as well-delimited patches of variable size and shape. The affected areas produce itching, burning or pain. Those patches may present vesicles on the edges and cracks on the bottom or even a thick, whitish fluid. It is known as intertrigo when it affects the folds of the skin.

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

The treatment consists of good hygiene of the area, leaving the skin well dry, aerated and avoiding friction. Dehydrating agents (e.g., compresses with Burow's solution) and topical antifungals such as azoles may 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 38 ºC)
Symptom persistence for more than two weeks after the initial treatment
Wet and pale skin
Rapid breathing

Self-care

Check with your general practitioner about the prescription for gel or cream antifungals.
Improve buccal hygiene.