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scalp infection

Hi everyone,

I have a problem that I cant seem to find a solution for so decided to see if i could find some help on this forum. For the last 6 month i have experiencing a horrible odor from my scalp. I notice people reaction to the smell as far has 25 feet from me.its so bad the rub their nose and squeeze, It extremely embarrassing and frustrating because I try so hard to keep my scalp clean. I have been washing daily since this started. I have spent alot of money trying new shampoos and different home remedies such as apple cider vinegar, baking soda, garlic t-gel shampoo, Jason shampoo, head and shoulder ect. My dermatologist prescribed  ketoconazole which help only for a few hours after washing but then the smell returns. I had to stop working because of this and oftentimes do not want to leave my house because the reaction I get because of the smell. I also  believe this is also contagious infection another thing my scalp is also very tender at time.
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Avatar universal
Thank you so much for your advice it is very much appreciated. I will definitely try a different dermatologist and see if either the Griseofulvin can help.
Helpful - 0
1415174 tn?1453243103
COMMUNITY LEADER
I think you can disregard the last post. It doesn't work that well. Another thought is you could have Ring worm of the scalp or hair shaft. Griseofulvin or Terbinafine are the treatments for this not Ketoconazole. Except that you can use ketoconazole for a shampoo in addition to the pills. This is provided your liver is healthy. They may do a blood test to check your liver enzymes.  So you need oral Griseofulvin or Terbinafine pills (Lamisil).  So I would see another dermatologist as that one doesn't seem to be up to date. They can do a culture and see what type it is and confirm that it is a fungus too. They can also add the shampoo. You may also have a secondary infection with a bacteria that may be causing the smell. So you may need an antibiotic in addition to the anti-fungal treatment to get rid of this. They should be able to tell by looking at it. If you have children or pets they can transmit it to you. So they may need treatment as well, I'm not sure of treatment for them. Don't share towels and personal items. You may have to throw out or bleach hats, combs, brushes, and linen (towels , sheets, etc) as you go.
regards,
mkh9
Helpful - 0
1415174 tn?1453243103
COMMUNITY LEADER
Here is a post from MedHelp that may help you. You may have to use the Ketoconazole shampoo for a long time ( such as 6 weeks for it to work). Some fungi are resistant to it so you may want to try Terbinafine shampoo or pills. But I would read some of the posts below. They may be helpful.

http://www.medhelp.org/posts/Dermatology/smelly-scalp-odour/show/644511

Hope this helps,
mkh9
Helpful - 0
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