Resistant fungus

[dynomike8]

I have a case of ringworm (I think) around my anus and on my buttcheeks.  I tried lamisil cream for 4 weeks with only a slight improvement and then saw my GP.  He prescribed ciclopirox which I used for 5 weeks with maybe 25-50% improvement, but it would occasionally flare and come back just as strong.  Went back to the GP and he suggested maybe the fungus was almost gone and that it was more inflammation than anything.  To be sure, he prescribed oral ketoconazole for 2 weeks and prescription hydrocortisone.  Anyway, the ketoconazole seemed to get rid of everything in about 2 days (hydrocortisone made it worse, so I stopped using it), but I continued to use lamisil after the pills to make sure.  After 3 weeks and still using lamisil, it started to flare up again.  So what do I do?  Any thoughts?  I have been very diligent about treating this but with no luck.  I have stopped using everything except powder thinking maybe I was just irritating it, but three days and it is still there.  Going back to doc next week, but thought I would get a second opinion.

[hili]

hi,
someone in my family had this problem so he was prescribed with keteconazole but it did not work so someone advised to use petrolium jelly a LANDER PRODUCT that is to apply before sleeping at night after having your bath.
try if it works on you.
Good luck.
regards

[BhumikaMD]

Hi,

Ringworm can be mistaken for one of the following conditions: granuloma annulare, discoid lupus, and sarcoidosis.

Bullous tinea pedis (athlete foot with blisters) can mimic bullous drug reactions, bullous pemphigoid, and other bullous diseases of the skin.

Skin medication is usually successful at treating Ringworm within 4 weeks.

Advice often given to prevent ringworm includes:

* Avoidance of sharing clothing, sports equipment, towels, or sheets.
* Washing clothes in hot water with fungicidal soap after suspected exposure to ringworm.
* Avoidance of walking barefoot, wearing of appropriate protective shoes to the beach and flip-flops/thongs in locker rooms.
* After being exposed to places where the potential of being infected is great , washing with an antibacterial and anti-fungal soap or one that contains Tea Tree Oil, which contains terpinen-4-ol.

The treatment options include - Topical antifungal agents such as terbinafine 1% cream (Lamasil) applied twice daily until symptoms resolve (usually 1-2 weeks). Terbinifine is not recommended for children < 2 years old or anyone with impaired hepatic function.

Systemically with oral medications, especially for scalp ring worm, or infection of the finger nails or toe nails.

Call your doctor if:
    * Ringworm infects your scalp or beard.
    * His skin does not improve after 4 weeks of self-care.

If suspected ringworm does not respond to routine antifungal treatment, further diagnostics must be performed, like a skin biopsy, a fungal culture, or a skin scraping for fungus identification.

Let us know if you need any further information.

It would be advisable to consult a skin specialist for the symptoms and a proper clinical examination.

Let us know if you need any other information and post us on how you are doing.

Regards.