Fungal infections

May 13, 2023
Posted by Flowergrow

Fungal infection	Pictures	Treatment	Alternative	Comments
Tinea capitis/ Tinea barbae	Tinea capitis Tinea barbae	Griseofulvin 500mg PO q12h for 6 to 12 weeks + 2.5% Selenium sulphide shampoo (Selsun) Or 2% Ketoconazole shampoo (Pristine, Dezor) 2 times Per week for 2 weeks	Itraconazole 200mg PO q24h	Oral steroid might be needed
Tinea corporis/ Tinea cruris/ Tinea faciei	Tinea corporis Tinea cruris Tinea faciei	Mild: Topical antifungal cream: clotrimazole, miconazole, ketoconazol. Severe: Terbinafine 250mg PO q24h for 2 weeks Or Itraconazole 200mg (inox 100mg) PO q24h for 2 weeks Or Griseofulvin 500mg PO q12h or q24h for 4-6 weeks	Fluconazole 150-300mg per week PO for 3-4 weeks
Tinea manuum/ Tinea pedis	Tinea manuum Tinea pedis	Topical antifungals for 4-8wks Severe: Terbinafine 250mg PO q24h for 2-4 weeks Or Itraconazole 200mg (inox 100mg) PO q24h for 2-4 weeks Or Griseofulvin 500mg PO q12h or q24h for 6-12 weeks	Fluconazole 150mg/week PO for 4 weeks	KMnO4 in 1:10,000 dilution wet dressings, applied for 20 min 2–3 times/day, may be helpful if vesiculation or maceration is present.
Tinea versicolor		Selenium Sulphide 2% shampoo Apply to affected areas 10 minutes before bathing. Or Dilute to 1:1 with water, apply and leave overnight (treat for 1-2 weeks) Or 2% Ketoconazole shampoo. Apply to affected areas 10 minutes before bathing. For face, use topical cream (miconazole, clotrimazole) Severe/ recurrent case: Itraconazole 200mg PO 124h for 1 wk Or fluconazole 150-300mg PO weekly dose for 2-4weeks	Sulfur + salicylic solution	Shampoo can be used once every 2-4 weeks for prevention
Candidiasis		Mild: topical cream (miconazole, clotrimazole) Severe: Itraconazole 200mg PO q24hr for 1 week (take with food or acidic beverage: cola drink), avoid PPL and H2 blockers for absorption purpose.	Fluconazole 100mg PO q24h for 1 week (in immunocompromised patients)
Subcutaneous Fungal Infections (Sporotrichosis)		Itraconazole 200mg PO q12hr until all lesions have resolved (usually for a total of f 3–6 months)	Terbinafine 250mg PO q12h Or Fluconazole 400-800mg q24h	Treatment period might be longer for immunocompromised patients