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Skin Fungal Infections
Fungal infections Symptoms
Yeast Infection Skin Rash
Yeast Infection Skin Rash Causes
Candidal infections commonly occur in warm moist body areas, such as underarms. Usually, the skin effectively blocks yeast, but any breakdown or cuts in the skin may allow this organism to penetrate.
Typical affected areas in babies include the mouth and diaper areas.
In adults, oral yeast infections become more common with increased age. Adults can also have yeast infections around dentures, under the breast and lower abdomen, in the nailbeds, and beneath other skin folds. Most of these candidal infections are superficial and clear up easily with treatment.
In women, vaginal yeast infections are the second most common reason for vaginal burning, itching, and discharge. Yeasts are found in the vagina of most women and can overgrow if the environment in the vagina changes. Antibiotic and steroid use is the most common reason for yeast overgrowth. However, pregnancy, menstruation, sperm, diabetes, and birth control pills can also contribute to developing a yeast infection. Yeast infections are more common after menopause.
Yeast Infection Skin Rash Symptoms
Signs and symptoms of a candidal infection can vary depending on the location of the infection.
• In women, signs and symptoms of a vaginal yeast infection are a white cheesy discharge that typically itches and irritates the vagina and surrounding outer tissues. Occasionally, pain may occur with sexual intercourse or burning may occur with urination.
• In infants and adults, a candidal infection can appear many different ways.
* Oral candidiasis (thrush) causes thick white lacy patches on top of a red base on the tongue, palate, or elsewhere inside the mouth. These patches sometimes look like milk curds but cannot be wiped away as easily as milk can. If the white plaques are wiped away with a cotton swab, the underlying tissue may bleed. This infection may make the tongue look red without the white coating. Thrush can be painful and make eating difficult. Care should be taken to make sure a person with thrush does not become dehydrated.
Candidal organisms naturally live on the skin, but a breakdown of the outer layers of skin promote the yeast’s overgrowth. This typically occurs when the environment is warm and moist, such as in diaper areas and skin folds. Superficial candidal skin infections appear as a red flat rash with sharp scalloped edges.
Smaller patches of similar-appearing rash, known as “”satellite lesions”” or “”satellite pustules,”” are usually nearby. These rashes may cause itching or pain.
* Intertrigo appears as softened red skin in body fold areas.
* Candidal paronychia appears as nail fold swelling.
* Mucocutaneous candidiasis appears with nail dystrophy.
* Erosio interdigitalis blastomycetica occurs in the finger webs.
• Oral thrush requires medical treatment and a visit to the doctor. If children take no fluids for longer than 12 hours, contact your doctor for possible IV fluid replacement. Any fever or prolonged problems with feeding also warrant a visit to a doctor.
• Diaper rash or other candidal infections on the skin can be treated with over-the-counter nystatin powders (Mycostatin, Nilstat, Nystat-Rx, Nystex, O-V Staticin) or antifungal creams and lotions.
* If the rash worsens at any time or if the lesions do not clear up in 1-2 weeks, call a doctor.
* Fever, chills, nausea, vomiting, or the rash spreading to other parts of the body may be a sign of a more serious illness.
When to Seek Medical Care
Most cases of candidiasis do not have to be treated in the hospital. People with weakened immune systems may have more serious infections, however, and may need to be hospitalized.
• Women should go to the hospital when fever, chills, nausea and vomiting, or abdominal pain accompanies vaginal discharge. These symptoms can indicate a more serious problem such as kidney infections, appendicitis, or pelvic inflammatory disease. These potential conditions need to be promptly investigated.
• If thrush interferes with drinking liquids or eating for long periods of time, people may need to be hospitalized to receive more aggressive medications and to reestablish body fluids.
• Candidal skin infections rarely require hospital treatment.
• People with weak immune systems run the risk of the candidal organisms growing in their blood or internal organs, which can cause life-threatening illness. IV medication may be necessary to combat this systemic illness. Your doctor should promptly investigate symptoms of illness or general feelings of unwellness.
Exams and Tests
For healthy people, most physicians can diagnose a candidal infection without laboratory tests. Occasionally, if the infection will not go away or involves the entire body, more extensive tests may need to be performed.
• The only definitive way to diagnose a vaginal yeast infection is to complete a full gynecologic exam.
* This exam includes using a specialized instrument (speculum) to hold open the vagina. The exam can be uncomfortable because of pressure against the tissues. The doctor takes a swab of the discharge and may obtain other cultures to rule out other diseases. The swab for yeast is mixed with a drop of potassium hydroxide and is placed on a slide. If yeast are present, a specific branching pattern is seen through the microscope.
* The doctor then may insert 2 fingers into the vagina and gently press on the uterus, ovaries, and surrounding areas to check for any tenderness or other problems. The doctor also may take blood and urine specimens after this exam. Women should not douche or have sexual intercourse 1-2 days before the exam because doing so may make the diagnosis more difficult.
• In healthy children and adults, a quick exam in the mouth or of the skin usually confirms the diagnosis of candidiasis. If any confusion exists about the diagnosis, the doctor may obtain a small scraping of the area, which is placed on a slide with potassium hydroxide and examined for a branching pattern consistent with yeast. Sometimes a doctor removes skin flakes with a scalpel and puts the flakes onto a slide with a drop of potassium hydroxide and look for the pseudohyphae (branches without walls or compartments) that are the microscopic appearance of Candida.
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