30 yrs, female, 130 lbs, 5'9". No skin disorders. Tramadol 50 mg npo (once/twice per week) for back pain. Issue: diagnosed with ringworm of the skin - patches on breast, back, arm, and groin, especially in the clitoral area. Ketoconazole 2% is not making the patches get any lighter or smaller, and the groin area is itching and flaking more since beginning treatment Wednesday.