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Candida infection of the skin

Cutaneous candidiasis is infection of the skin with candida fungus.

Alternative Names

Skin infection - fungal; Fungal infection - skin; Skin infection - yeast; Yeast infection - skin; Intertriginous candidiasis; Cutaneous candidiasis

Causes

The body normally hosts a variety of germs, including bacteria and fungi. Some of these are useful to the body, some produce no harm or benefit, and some can cause harmful infections.

Some fungal infections are caused by fungi that live on the hair, nails, and outer skin layers. They include mold-like fungi (dermatophytes, which cause tinea infections) and yeast-like fungi (such as Candida).

In cutaneous candidiasis, the skin is infected with Candida fungi. It is fairly common. Infection can involve almost any skin on the body, but most often it occurs in warm, moist, creased areas such as the armpits and groin. The fungus that most often causes cutaneous candidiasis is Candida albicans.

Candida is the most common cause of diaper rash in infants. The fungi take advantage of the warm, moist conditions inside the diaper. Candida infection is particularly common in people with diabetes and in people who are obese. Antibiotics, steroid therapy, and chemotherapy increase the risk of cutaneous candidiasis. Candida can also cause infections of the nails (onychomycosis), at the edge of the nails (paronychia), and at the corners of the mouth (angular cheilitis).

Oral thrush, a form of Candida infection of the moist lining (mucous membranes) of the mouth, is usually associated with taking antibiotics. It may also be a sign of HIV infection or other immunodeficiency disorders when it occurs in adults. Individuals with Candida infections are not usually contagious, though in some settings immunocompromised people can catch the infection.

Candida is also the most frequent cause of vaginal yeast infections, which are common and often associated with antibiotics use.

People with seriously weakened immune systems and cutaneous candidiasis may go on to develop more serious internal Candida infections.

Symptoms

A yeast (candida) infection of the skin can cause intense itching.

Symptoms also include:

  • Red, growing skin rash
  • Rash on the skin folds, genitals, middle of the body, buttocks, under the breasts, and other areas of skin
  • Infection of the hair follicles that may look like pimples

Exams and Tests

Your doctor or nurse can usually diagnose this condition by looking at your skin. The health care provider may gently scrape off a sample of skin for testing.

Older children and adults with a yeast skin infection should be tested for diabetes. High sugar levels seen in people with diabetes act as food for the yeast fungus, and help it grow.

Treatment

Good general health and hygiene is very important for treating candida infections of the skin. Keeping the skin dry and exposed to air is helpful. Drying powders may help prevent fungal infections.

Losing weight may help eliminate the problem if you are overweight.

Proper blood sugar control may also be helpful to those with diabetes.

Antifungal skin creams or ointments may be used to treat a yeast infection of the skin, mouth, or vagina. Antifungal medications taken by mouth may be necessary for for severe candida infections involving the mouth, throat, or vagina.

Outlook (Prognosis)

Cutaneous candidiasis sometimes goes away with treatment. Repeat infections are common.

Possible Complications

  • Infection of nails may cause nails to become oddly shaped and may cause infection around the nail
  • Recurrence (repeat episodes) of Candida skin infection
  • Widespread (disseminated) candidiasis may occur in immunocompromised individuals

When to Contact a Medical Professional

Call for an appointment with your health care provider if you develop symptoms of cutaneous candidiasis.

References

Edwards JE Jr. Candida species. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 257.

Kauffman CA. Candidiasis. In: Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 346.

Updated: 10/6/2012

Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School; Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.


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