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What causes recurrent penis fungal infection in a patient with diabetes?

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Posted on Tue, 26 May 2015
Question: I am a diabetic ... and have reoccurring fungal infections on my penis. I am not circumcised.
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Answered by Dr. Chobufo Ditah (2 hours later)
Brief Answer:
Is your blood sugar well controlled?

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this recurrent fungal infection that you have reported. This is not uncommon in a person who has diabetes and more so if it is poorly controlled. Can you please provide a few numbers of your blood sugars and the last A1c value you had? Also, please provide an image of this infection site for review.

The main management strategy here would be to get your diabetes well controlled and use potent anti-fungals. Also, if this fungal involves the foreskin, considering circumcision might not be a bad idea as local factors especially humidity may be responsible for this recurrent infections.

The fact that this infection gets successfully treated only to return later means the drugs are at least effective. The problem should be the predisposing factors. For this we shall look at the diabetes control and where this infection is located in order to address this.

I hope to hear from you and would return to you with personalized and helpful information on how to address this. Until then, I wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

Answered : 6296 Questions

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What causes recurrent penis fungal infection in a patient with diabetes?

Brief Answer: Is your blood sugar well controlled? Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this recurrent fungal infection that you have reported. This is not uncommon in a person who has diabetes and more so if it is poorly controlled. Can you please provide a few numbers of your blood sugars and the last A1c value you had? Also, please provide an image of this infection site for review. The main management strategy here would be to get your diabetes well controlled and use potent anti-fungals. Also, if this fungal involves the foreskin, considering circumcision might not be a bad idea as local factors especially humidity may be responsible for this recurrent infections. The fact that this infection gets successfully treated only to return later means the drugs are at least effective. The problem should be the predisposing factors. For this we shall look at the diabetes control and where this infection is located in order to address this. I hope to hear from you and would return to you with personalized and helpful information on how to address this. Until then, I wish you well.