Candidiasis
Description Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: B37.2 DESCRIPTION Skin infection involving axillae, neck and perineum. Commonly occurs in immunocompromised individuals. Involvement of mouth and perineal regions suggests systemic disease. DIAGNOSTIC CRITERIA Clinical Red, raw-looking patches with satellite white
General and supportive measures
ICD-10 code: B37.2
DESCRIPTION
Skin infection involving axillae, neck and perineum. Commonly occurs in immunocompromised individuals. Involvement of mouth and perineal regions suggests systemic disease.
DIAGNOSTIC CRITERIA
Clinical
- Red, raw-looking patches with satellite white pustular lesions on an erythematous base.
- Mucosal involvement.
Investigations
- Wet preparation with potassium hydroxide or biopsy and culture.
GENERAL AND SUPPORTIVE MEASURES
- Control underlying immunosuppressive state, e.g. diabetes, HIV.
- Personal hygiene of mothers prior to breastfeeding.
MEDICINE TREATMENT
Imidazole cream 1%, e.g. clotrimazole, topical, applied 8 hourly for 14 days.
If no response
- Fluconazole, oral, 3–6 mg/kg/day for 14 days.
REFERRAL
- Recalcitrant infection.
Standard Treatment Guidelines And Essential Medicines List For South Africa, Hospital Level, Paediatrics, 2023 Edition
Chapter 5: Dermatology, 5.3 Macules And Papules, 5.3.5 Candidiasis