Has my folliculitis been misdiagnosed?

[jones887]

I have uploaded pictures below. I have bad this problem for 8 weeks and condition continues to get worse and the bacteria is spreading.
My GP thought it was fungal, but my Dermatologist believe it could be Folliculitis and Rosea Pityriasis. My buttocks and thighs are VERY pruritic (itching) - I do not sleep very well at night due to itch.

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Mainly Buttocks and Thigh, I now have some similar Spots on my Scrotum which I believe the bacteria has spread to. I am being treated by the NHS in the UK, but waiting times are long to see Dermatologist.

Here is what I have tried so far, with prescriptions from my GP and Dermatologist.

Erythromycin 2 week anti-biotic course. I finished this 1 week ago, the Spots did reduce, but they are now flatter and look more like rashes

Fucibet Cream (Fusidic Acid & Betamethasone) - I have used a lot of this cream for 3 weeks on the Spots, but I'm not sure if it works. The Spots have reduced in size, but the bacteria continues to spread. I am not sure.

(Corticosteroid) Betamethasone Valerate w/w 0.1% topical steroid cream - this is good for controlling itch, sometimes I can not sleep without putting this cream on because the itch is so intense. However it does leave my skin feeling tingly and sensitive.

(Anti-histamine tablet) Fexofenadine Hydrochloride 360mg Once a day - I have taken these for 8 weeks. They are good at releiving itch symtoms.

Dermol 500 - this is a antimicrobial emollient & moisturiser, I use this instead of soap in the shower, and I apply to skin once or twice a day.

[Mundo_Feliz]

WOW! I have the same problem! Did you find the cure my friend??!

[tiredofmyillness]

if it is fungal infection then antibiotics will do more harm then cure. Even moisrturisers will also worsen the condition because fungus grows on oils.  first of all get tested for fungal infection.

[Bhupinder Kaur, MD]

Hello,
It looks like folliculitis but if the response to antibiotics is slow then a combination of antibiotics should be used or fungal folliculitis ruled out. I suggest you to get a KOH examination of the skin scrapings done to confirm the diagnosis. If fungal infection is confirmed you may need topical and oral antifungals.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.