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Thread: fungal infection

  1. #1

    fungal infection

    It appears I have a groin fungal infection. It's been treated for two weeks with ketoconazole cream and fluconazole orally which improved but did not cure it. It is just red, no other symptoms. If there were pain, of course, I wouldn't feel it.

    I am a bit confused by how to treat it. The place I went to did not discuss how to apply the cream but on here and other places people say you should wash and dry the area. Does that mean I would have to take two showers a day? (I don't think I could clean the area with soap and water unless I showered). I have been using instead Sani-Hands alcohol wipes before the cream application.

    Here are my questions:

    1. Are there any special risks/concerns with this associated with SCI (loss of sensation) and/or intermittent catheterization?

    2. What's the next step after ketoconazole didn't cure it, and do I need to shower first or are alcohol wipes ok?

  2. #2
    Soap and water is best. We just do this as part of morning and evening care, in bed. Soapy washcloth, another wet washcloth, then dry well. Then get into a "frog" position and stay that way for up to an hour (ideal). This allows the area to get really dry. Some use a hair dryer, but you have to be really careful to not burn yourself. Then apply your antifungal cream/ointment, rubbing it in well. I prefer miconazole nitrate 2% cream (Lotrimin AF, Micatin, Monistat Derm, Daktarin, etc.) for dry fungal areas, and powder (Lotrimin AF and Zeasorb-AF) for "wet" fungal infections. If using powder, dust it on lightly, then brush away the excess. Don't cake it on.

    Avoid wearing clothing (underwear, pajamas, adult incontinence pads, etc.) over the area when in bed; this lets more air get to the area.

    I can also recommend the use of Interdry for both treatment and prevent of fungal infections in the groin, skin folds, etc. It is a white knit jersey like fabric that is also silver impregnated. The silver is antifungal, and the fabric is excellent at wicking away moisture. For use in the groin, you can cut a piece about 12"X3" (for most people) and just lay it into the area, making sure that fabric extends outside the area where skin is in contact (this allows the moisture wicking fabric to work). You can secure it with underwear or if needed, a few pieces of tape (don't tape on top of the fungal area). https://www.interdry.com/

    (KLD)

  3. #3
    When I have had this problem I have used a little battery operated fan when I am in the frog position. Safer than a hair dryer. Along with the above mentioned stuff from KLD.
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  4. #4
    Senior Member ChesBay's Avatar
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    A lot of good recommendations above. Just to add another, if you are a side sleeper ... a pillow between the knees to keep the air circulating.

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