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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Scrotum Skin Infection, An Indication Of Fungal Infection?

Hello Doctor,I have been suffering from itchy scrotum since a year. Back in Dec 09, I had a secondary fungal infection on the scrotum due to excessive sweat. The doctor had prescribed Flucanazole tablets and Zole-F cream. It took 3 weeks to heal. But, the infection did not seem to cure 100%. My scrotum often goes dry and white and becomes itchy and with a burning sensation. When the scrotum skin is stretched, I observed a kind of drought area like texture with small dark patches in irregular shapes. Applying coconut oil provides temporary relief. It does not itch during night times, except in one or two instances. I am not sure if it is still a fungus infection. I do not have fungus infection on foot or else where. During the mid of the day, the scrotum skin becomes dry and the skin turns pale white and it burns a bit. This kind of infection is observed only on the scrotum, and not on the penis nor on the bottom of the scrotum. I also have developed 3 small blisters on the upper left side of the scrotum, which earlier were the size of a pea and now has reduced in size, but is still there. I apply coconut oil daily morning and before going to bed and stay calm for 30 mins until the skin absorbs it, and I am doing it since a year and yet no signs of cure. I fear of approaching a skin doctor as he might prescribe steroids which may worsen the situation.

Adding to it, I recently developed 3-4 white patches on the left side of the groin area which itches quite often. I started applying a Micanazole Nitrate + Fluocinolone Acetonide based cream since last 4 weeks. Please let me know if my scrotum skin infection is an indication of fungal infection.

Thanks in advance,
Thu, 18 Aug 2016
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General & Family Physician 's  Response
Probably you are suffering from fungal infection. Don’t be afraid of steroid because topical steroid generally does not cause any side effect. Steroid will provide symptomatic relief from itching and redness
Advice
1.     Apply antifungal cream containing clotrimazole, steroid and antibiotic such as Lobate GM cream thrice daily for 15 days
2.     Fluconazole 150 mg per oral weekly for 2 months – total 8 tablets
3.     Keep your groin area clean and dry
4.     You can use ketoconazole dusting powder also
5.     Do not scratch
6.     Take high protein diet such as eggs and cheese to boost immunity
7.     Investigation – blood sugar (fasting & postprandial)
Thanks
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Is Scrotum Skin Infection, An Indication Of Fungal Infection?

Probably you are suffering from fungal infection. Don’t be afraid of steroid because topical steroid generally does not cause any side effect. Steroid will provide symptomatic relief from itching and redness Advice 1. Apply antifungal cream containing clotrimazole, steroid and antibiotic such as Lobate GM cream thrice daily for 15 days 2. Fluconazole 150 mg per oral weekly for 2 months – total 8 tablets 3. Keep your groin area clean and dry 4. You can use ketoconazole dusting powder also 5. Do not scratch 6. Take high protein diet such as eggs and cheese to boost immunity 7. Investigation – blood sugar (fasting & postprandial) Thanks