Thrush on the face treatment. Treatment of candidiasis - nails, smooth skin in children and adults. Forms, types and types of disease
Skin candidiasis is an opportunistic mycosis that occurs with a lesion upper layers skin covers. In patients with severe immunodeficiency, the infection may spread, which leads to the development of disseminated forms of the disease, in which internal organs are also affected (visceral candidiasis).
The entry of fungi of the genus Candida into the systemic circulation in combination with an immunodeficiency threatens the development of mycotic sepsis, in most cases ending in death.
The incidence of fungal infections, including skin candidiasis, is increasing every year. This is largely due to the widespread irrational use of antibacterial drugs.
Causes and risk factors
The causative agent of candidiasis of the skin are yeast-like fungi of the genus Candida. They belong to the conditionally pathogenic microflora and normally live on the mucous membrane of the vagina, oral cavity, intestines, and also on the skin. Activation of a fungal infection and the development of the disease occurs in the case of a decrease in the overall defenses of the body and a violation of the normal microbiocenosis.
Risk factors for the development of cutaneous candidiasis are:
- metabolic diseases (diabetes mellitus, obesity, dysproteinemia);
- chronic somatic diseases;
- therapy with antibiotics, corticosteroids or cytostatics;
- taking oral contraceptives.
There are also a number of environmental factors, the influence of which increases the risk of developing skin candidiasis. These are primarily high humidity and high temperatures. environment creating optimal conditions for the vital activity of fungi of the genus Candida, help the infection to go into an active state. That is why skin candidiasis is often diagnosed in dishwashers, housewives, bath and pool workers. Similar conditions favoring the development of a fungus on the skin are created when wearing clothes made of artificial fabrics that do not allow air to pass through.
Skin candidiasis is often detected in confectionery workers. In the feedstock used in the confectionery industry, fungi are present in a considerable amount. Under conditions of high ambient temperature, skin sweating increases, which creates favorable conditions for the development of mycotic lesions. A prerequisite for their occurrence is the systematic maceration of the skin of the hands of workers with organic acids (malic citric, lactic) and sugary substances.
The complex therapy of skin candidiasis includes a diet low in carbohydrates, especially easily digestible (sugar, confectionery, honey).
Forms of the disease
Depending on the location of the lesion, skin candidiasis is divided into the following forms:
- candidiasis of the skin of the genital organs (as a rule, occurs in combination with damage to the mucous membranes of the genital organs);
- candidiasis of large (inguinal, axillary) skin folds (candidiasis intertrigo);
- candidiasis of the skin of the feet, hands and interdigital spaces;
- candidal folliculitis - mycosis of the hair follicles of the scalp, armpit, mustache and beard (candidiasis of the skin of the face);
- diaper dermatitis - affects the skin of the perineum in infants and bedridden patients when using diapers (the most common form of skin candidiasis in children);
- bandage skin candidiasis - occurs on the back of bedridden patients, as well as under plaster bandages, provided high humidity skin (especially in patients with diabetes).
Symptoms
Lesions in skin candidiasis are usually initially located in large natural folds (in the groin, armpits, between the buttocks and under the mammary glands). In the future, they can spread to other parts of the body, leading to the development of candidiasis of the skin of the face, genitals.
In the affected area, hyperemic edematous areas appear on the skin, the surface of which is covered with papules, pustules and vesicles. After opening the bubbles, erosions form in their place, having clearly defined scalloped edges. The erosive surface is smooth and shiny, covered with a characteristic whitish coating. On the periphery of the lesion, there are separately located pustules, vesicles, edematous-erythematous spots, papules.
With candidiasis of the skin of the face, small bubbling rashes are more localized around the perioral region. In addition, patients complain of the appearance of jamming and cracks in the corners of the mouth, increased dryness of the skin.
Conditions conducive to the development of a fungus on the skin are created when wearing clothes made of artificial fabrics that do not allow air to pass through.
Diaper dermatitis is the most commonly observed form of skin candidiasis in children. The reason for its occurrence is usually a violation of the rules of hygienic care for a child. The main symptom of diaper dermatitis is the appearance on the inflamed skin of the perineum of vesicle-pustular rashes or a scaly rash, which are accompanied by severe itching.
Candidiasis of the skin of the interdigital spaces is usually observed in people who often come into contact with the ground (rural residents, workers in greenhouses and greenhouses, owners of summer cottages) and children preschool age. It is characterized by reddening of the skin between the fingers and the appearance of small bubbles on it.
Candidiasis of the skin of the genital organs in most cases is combined with fungal balanitis, balanoposthitis in men or colpitis, vulvovaginitis in women.
In rare cases, skin candidiasis takes a chronic course. Most often, this is facilitated by defects in T-lymphocytes, i.e., insufficiency of the immune system. Exacerbations of the disease occur several times a year, with each exacerbation the area of the lesion slightly increases. In the most severe cases, infiltrates appear on the skin, which have indistinct contours, the surface of which, at the time of exacerbation, is covered with serous-bloody crusts pierced by mycelial filaments.
Diagnostics
To confirm the diagnosis, a scraping is taken from the lesion for subsequent direct microscopy (detection of oval-shaped cells with pseudomycelium of fungi is a diagnostic sign of candidiasis).
Source: likar.info
Also, in order to determine the pathogen, methods of enzyme-linked immunosorbent assay (ELISA), immunofluorescence reaction (RIF) and PCR diagnostics can be used.
Skin candidiasis is often diagnosed in dishwashers, housewives, bath and pool workers.
The quantitative determination of Candida fungi is of more diagnostic value, since they are present on the skin and mucous membranes of a person and are normal. For this purpose, a bacteriological examination of the scraping material is performed (inoculation on Sabouraud's medium). In addition, this analysis allows you to accurately identify the pathogen, and most importantly, determine its sensitivity to antifungal agents.
The disease makes itself felt after the yeast-like fungus Candida enters the body. But it is worth clarifying that in order for skin candidiasis to manifest itself, a person must have a greatly weakened immune system.
Classification of candidiasis
Currently a large number of people experience symptoms of candidiasis. The fungus can live on household items, in the ground, on animals, on food and on the human body. This suggests that you can get infected in various ways.
There are several types of pathology under consideration, which can vary in symptoms and localization. You should study them in more detail:
- Candidiasis that occurs in large folds of the skin - intertrigo. In this case, the lesion is observed in the armpits, lower chest, between the buttocks and in the groin area. In these places, red or brown spots appear with a white coating, which peel off along the edges. Problem areas of the skin hurt, itch and can burn.
- Yeast paronychia is characterized by swelling and suppuration of the periungual fold.
- Candidiasis stomatitis manifests itself on the mucous membrane of the oral cavity and tongue. With the development of this form of pathology in humans, spots of a curdled consistency are formed, which are unbearably sore. Candidiasis on the face can be contagious.
- Mycotic zaeda - raid white color that occurs at the corner of the mouth. When trying to remove it, a red spot appears in the problem area. Most often, candidiasis on the face can be diagnosed in people aged, in the presence of an abnormal bite or when wearing a prosthesis that is not in size.
- Candidiasis of the border of the lips is characterized by the appearance of scales and cracks on the lips.
- Candidiasis of the palms can be suspected when blisters appear that flake off after a while. Thickening of the skin on the palms is periodically diagnosed.
- Interdigital pathology, in which redness is localized in the hollow between the middle and ring fingers. The reason for this phenomenon may be contact with water or detergents. On the legs, such lesions appear much less frequently.
- Sole candidiasis: Patients have a blister, scaling, and pustule on the sole.
- Folliculitis of the candidal type is characterized by damage to the hair follicles, armpits, beard and mustache. Candidiasis of the scalp is less common.
- Candidiasis of the scalp and face is a rare pathology that can be contracted through the skin on the cheeks, nose or neck. The disease often occurs in childhood.
- Genital candidiasis is manifested by superficial vesicles, rash, cracks and white spots. Symptoms include itching and burning. Discharge is often observed from the genitals.
- Candidal anitis is a skin lesion in the anus. Most often seen in people with diabetes or after a long course of treatment antibacterial drugs.
- Candidiasis of the nipples affects lactating women and manifests itself in the form of white plaque and scales. In addition, there is a risk of small cracks in the mammary gland.
In addition, there is generalized cutaneous candidiasis, which is characterized by the entry of the fungus into the bloodstream and its spread throughout the patient's body. Often candidiasis of the scalp is chronic.
Is candidiasis contagious?
This is observed if a person has severely reduced immunity or there are other factors that are provocateurs of candidiasis.
Such coincidences are quite rare, but it is not worth excluding the risk of their occurrence. This suggests that after contact with the elderly or sick people, experts recommend observing measures to prevent candidiasis.
Risk group
Thrush on the skin occurs at any age, because the main provocateur is the weakening of the immune system.
Most often, the pathology manifests itself on the hands of a person who regularly comes into contact with water and certain chemicals that corrode the skin and kill beneficial bacteria.
Often, representatives of the beautiful half of humanity face such a disease.
And it is not surprising, because it is women who wash the dishes and come into contact with various substances for cleaning the room or washing clothes. In addition, the fungus can affect beauty salon workers and cleaners.
Why does the disease appear
Often mycosis is caused by increased activity of harmful microorganisms that can be found in nature, vegetables, fruits and the earth.
Skin candidiasis is diagnosed even in infants, because at birth, harmful agents enter the baby's body.
If the child is not affected by any factors - provocateurs, then this condition is considered a variant of the norm.
The causes of candidiasis are divided into several groups. It is worth considering them in more detail:
- internal reasons. These include pathological processes that occur in the patient's body and affect the immune system: diseases of the gastrointestinal tract, diabetes, endocrine disease, therapy after surgery, alcohol or drug poisoning, malignant neoplasms, lack of vitamins, past chemotherapy, treatment with antibiotics, AIDS, use of corticosteroids, obesity or severe malnutrition.
- external reasons. In this case, we are talking about external factors: improper clothing, skin contact with acids or alkali, the presence of ulcers or microtraumas, poor hygiene, excessive sweating.
It is necessary to take into account what to identify true reason only a qualified specialist can form candidiasis of the skin, so it is not recommended to delay a visit to the doctor.
Symptoms of pathology
As mentioned above, candidiasis can form on the face, buttocks, mouth and in all places where there are skin folds.
There are a lot of types of the disease in question, so each of them has its own symptoms. But there are several common symptoms that indicate the disease.
The main signs of candidiasis of the skin are as follows:
- Swelling of the skin caused by the presence of excess fluid in it.
- Scales on the skin.
- Rash.
- Red or purple patches.
- Itching in the problem area.
- White plaque.
- Cracks and soreness.
- The appearance of erythrema.
- Pustules along the edges of the wound.
- White or red sores on the mucous membranes of the mouth.
If one or more of these phenomena occur, you should immediately seek medical help.
Symptoms of candidiasis in a child
In 25% of infants, pediatricians diagnose candidal lesions of the skin.
A harmful fungus can enter the baby's body even during its development in the womb. In addition, the baby can become infected during childbirth or in the maternity ward.
During the examination, doctors often observe diaper candidiasis and intertrigo. This is due to the special structure of the skin of babies: it is very loose, there are few layers on it, and the skin does not yet have mechanical protection.
Symptoms often appear on the buttocks, thighs, and perineum. They can be:
- Swelling of the skin, its redness and wetting.
- Exfoliated areas of the skin at the sites of their defeat.
- Increased child anxiety during diaper changes.
- Crying during stool and urination.
Some parents try to deal with the problem on their own. This cannot be done, because there is a risk of further aggravation of the situation.
Diagnostic measures
A qualified dermatologist is able to establish a preliminary diagnosis at the first glance at the patient's affected skin.
But before prescribing any therapy, he must conduct a series of tests. Let's look at them in more detail:
- A skin scraping that is examined under a microscope. Diagnostics makes it possible to identify mycelium and fungus.
- Analysis of changes in the skin.
- Sowing biomaterial, which allows you to determine the type of fungus and study its reaction to specific groups of drugs.
- PCR diagnostic method.
- Conducting enzyme immunoassay.
- Immunofluorescence reaction.
- Performing an immunogram.
- Determination of the amount of glucose.
- Study of the patient's blood.
Without these tests, the doctor will not be able to make a final diagnosis and begin to treat candidiasis of large folds.
Treatment options for candidiasis
In order to successfully eliminate scalp candidiasis and prevent the development dangerous complications, you should choose the right basic scheme for its treatment. To this end, physicians prefer to approach the problem in a complex manner.
Due to the fact that candidiasis is often provoked by a decrease in immunity and the presence of active fungi in the body, the following methods should be used to treat it:
- Elimination of the causative agent. It is appropriate to use an antiseptic or antimycotic, which can be purchased in the form of an ointment, cream, paste or tincture.
- The fight against the source of the pathogen in gastrointestinal tract or urinary system. For this purpose, systemic drugs are ideal, available in the form of tablets, suppositories or solutions for douching.
- Treatment of chronic pathologies that led to the activation of the pathology in question.
- Strengthening immunity: reception vitamin complexes adhering to a certain diet and maintaining a healthy lifestyle.
In addition, it is necessary to completely eliminate the impact external stimulus, use medical gloves and observe personal hygiene.
Medical treatment of candidiasis
Doctors point out that therapy should be started in a timely manner and without delay, because candidiasis quickly spreads throughout the body and affects nearby tissues.
Patients are often prescribed pills or intravenous administration of certain drugs. The most effective drugs include such drugs:
- Ketoconazole is a drug that should be taken at 200 milligrams daily.
- Pimafucin is a drug taken 100 milligrams 4 times a day by adult patients. For children, the remedy is given in a dosage of 50 milligrams and only after the permission of a qualified pediatrician. The course of treatment lasts at least 14 days.
- Fluconazole is a substance that may come in the form of capsules, injection solution, or syrup. Adults need to take 200 milligrams daily, and the dosage for a child depends on his weight. Therapy lasts about 2 weeks.
- Nystatin is a drug taken at 1,000,000 units 3 times a day by adults. The course of treatment is at least 2 weeks.
- Itraconazole is a remedy that should be drunk 2 times a day, 100 milligrams for 14 days.
All of these medications are allowed to drink only after consultation with your doctor.
Ointments for fungus
The choice of a local remedy depends on what form of the pathogen the doctor had to deal with. This is due to the fact that all the following preparations have a different composition and differ in the active substance.
To modern options topical therapy can include the use of the following pharmaceuticals:
- Exoderil - a cream that fights various types fungi and their spores. It is absorbed into the skin and has an antifungal effect. Before using the cream, you should thoroughly wash and dry the place where it will be applied. The course of treatment with a drug rubbed into the site of the inflammatory process lasts no longer than a month. The result will be visible already in the 3rd week of using the cream.
- Nizoral is a cream that has proven effective in combating various infections of the skin, nails and mucous membranes. The scheme of application of the drug is selected taking into account the type of pathogen. Most often, doctors recommend smearing the problem area 2 times a day for 4 weeks.
- Sebazol is a product that is produced in the form of a cream or ointment and has fungistatic and fungicidal properties. The drug should be used when diagnosing candidiasis, mycosis or lichen. It should be noted here that some patients may develop individual intolerance to the main active substance - ketoconazole. Therefore, Sebazol should be used carefully in order to avoid irritation of the skin.
- Mycospor is a fungus cream that can be used for dermatophyte, seborrhea and erythrasma. Apply the cream 1 time per day, by lubricating the most problematic area and surrounding tissues. Doctors recommend carrying out such activities before going to bed.
Although all of these drugs are among the safe, before using them, it is better to consult with your doctor and undergo an examination of the body.
Features of nutrition in candidiasis
Any person in the body has a Candida fungus, which does not provoke any diseases and goes into the active stage only when the immune defense is lowered.
The intestinal microflora also influences this process, so people should eat right and monitor their own health.
In order to prevent candidiasis on the body or recover faster after its treatment, doctors advise adhering to the following nutritional rules:
- Eat less carbohydrates and sweets.
- Do not eat fast food that contains transgenic fat.
- Do not use semi-finished products.
- Eat more foods rich in fiber and vitamins.
- Regularly consume kefir, yogurt.
- Limit fried, spicy, sour foods in the diet.
- Do not refuse to eat red peppers, onions, garlic and propolis - foods that fight fungi.
Therapy with folk remedies
For quite some time now, experts have been advising to combine drug therapy with recipes from the people.
Traditional healers have in stock several effective and efficient remedies that you can prepare yourself.
It is worth considering them in more detail:
- Take 2 lemons, 25 grams of garlic, 250 milliliters of boiling water and 10 drops of grapefruit tincture, beat well with a mixer until a homogeneous mass with foam is obtained. Leave alone for 24 hours, then pour into a clean container and refrigerate. Drink 2 times a day, 50 grams.
- Take a teaspoon of sage, chamomile, calendula and yarrow, mix, pour 1 liter of boiling water and insist for half an hour. Use as an application, rinse or direct treatment of problem areas of the skin.
- Take 3 cloves of garlic, 10 activated charcoal tablets, 20 grams of calendula flowers and 100 grams butter or fats. Process the garlic with a press, crush the tablets, and finely chop the calendula. Mix everything and add oil. Mass is recommended to smear problem areas before going to bed.
Do not forget that ethnoscience should not become an alternative to the use of pharmaceutical preparations.
How to avoid the development of candidiasis on the skin
In order to prevent the occurrence of the pathological condition in question, you should eat right, keep healthy lifestyle life, regularly eat low-fat yogurt, honey, lingonberries, garlic and season with tea tree oils.
The main preventive measures are based on maintaining such conditions that the fungus is not able to develop.
The main preventive measures include several basic measures. You should study them in more detail:
- Every day, consume dairy products that prevent the development of dysbacteriosis.
- Refuse sweets.
- Observe personal hygiene.
- Do not use antibacterial soap, which violates the microflora.
- Try not to abuse antibiotics unless absolutely necessary.
- Annually undergo an examination in a medical institution in order to timely detect candidiasis of the scalp.
- Timely treat relapses of chronic pathologies.
- Perform cleaning and washing dishes in special gloves.
It is worth considering that a healthy lifestyle and consumption natural products helps to reduce the risk of formation of not only candidiasis, but also other diseases.
Candidiasis of smooth skin is always easier to prevent than to cure.
Useful video
Skin candidiasis (aka “skin candidiasis”, “skin thrush”) is a disease of the skin, mucous membranes and internal organs, which is caused by fungi of the genus Candida. The pathogen is found everywhere (soil, household items) and has almost two hundred thousand varieties, so it is not surprising that the disease has become quite widespread.
Causes of the disease
The causative agent of the disease, a yeast-like fungus of the genus Candida, is an opportunistic pathogen. It can be found absolutely everywhere, including on the skin of a healthy person. Skin candidiasis can develop due to minor injuries of the skin or mucous membranes, subject to a reduced immune response.
Risk factors for infection include:
- Childhood and old age;
- Diabetes and other diseases endocrine system;
- Congenital and acquired immunodeficiency;
- Metabolic disease;
- Chronic infectious diseases;
- Uncontrolled intake of antibiotics and hormonal drugs.
The wide prevalence of the pathogen causes the multiplicity of the lesion and the tendency to relapse.
Skin candidiasis clinic
There are several clinical forms of cutaneous candidiasis:
- oral candidiasis;
- Candidal cheilitis;
- Candidiasis of folds and smooth skin;
- Candidal onychia and paronychia;
- Urogenital candidiasis;
- Chronic generalized candidiasis.
Each clinical form has its own characteristics in connection with the location and specificity of the affected tissues.
Oral candidiasis most often occurs in infants. Infection occurs from the mother in the prenatal period, during childbirth and during breastfeeding, as well as from care items.
The first symptoms are redness and swelling of the gums and oral mucosa. Over time, against the background of redness, spots of a whitish (sometimes with a yellowish or gray tint) curdled plaque appear, which, merging, form a film of various sizes and shapes. Films are easily removed without damaging the mucous membrane. At the same time, the general condition of the child does not noticeably worsen: the disease proceeds at normal body temperature and without enlargement of the lymph nodes.
In adults, oral candidiasis has a chronic course, but is much less common. Clinical picture identical to the lesion of the oral cavity in children, however, when removing films from the mucous membranes, in this case, erosion remains, patients are worried about a burning sensation and dry mouth.
Candidal cheilitis occurs in adults and older children. Among other things, on examination, there is swelling of the red border of the lips, the presence of grayish scales along the edges and poor peeling. Patients complain of dryness, burning and soreness.
Candidiasis of folds and smooth skin is manifested by the appearance of small vesicles on the skin, which, opening up, form erosions that are clearly limited from healthy tissues. However, the process can spread quite quickly and is necessarily accompanied by skin itching and burning.
Candidiasis onychia and paronychia (candidiasis of the nail folds and nails) in the initial stages is manifested by swelling and soreness of the nail fold. Further, the inflammatory process subsides, and the nail plate is affected, which becomes thickened, dull and covered with transverse brownish stripes. Unlike an infectious lesion (streptococcus), there is no purulent discharge.
A symptom of urogenital candidiasis is primarily the presence of a whitish cheesy plaque against the background of general hyperemia and swelling of the external genital organs, which is accompanied by itching, burning and soreness.
Diagnostics
For the diagnosis of "candidiasis of the skin" data of a clinical examination, laboratory diagnostics (microscopy of smears-imprints for the detection of microspores of the fungus) are required. To clarify the strains of the pathogen, it is necessary to conduct a cultural study of the isolated samples and serological tests.
Treatment
Depending on the severity of the disease, dosage forms for external use (ointments, creams, suspensions, solutions) can be used. Popular tools include:
- Miconazole;
- Lamisil;
- Clotrimazole solution;
- Solutions of aniline dyes (brilliant green, methylene blue, gentian violet);
- Nystatin ointment.
The preparations should be applied to the affected areas of the skin twice a day. After regression clinical manifestations reduce the use of drugs to one application every two to three days for three weeks to prevent relapses.
For severe chronic forms of candidiasis, complex therapy is used: therapy with general antimycotics is added to local drugs: ketonazole, fluconazole, which are available in tablets and capsules for oral administration. Reception of drugs lasts from three to five days.
Along with medications, a specialist may prescribe a special diet low in carbohydrates, vitamins.
Prevention of skin candidiasis
Prevention of the development of skin candidiasis consists in careful monitoring of the risk group. In persons with severe immunodeficiency, prophylactic therapy with antimycotic agents should be carried out.
For children and adults, observing the basic rules of personal hygiene and monitoring their health will be quite sufficient to prevent infection.
Additional Information
- Is it possible to swim with thrush?
- Candidiasis Diet - Allowed and Prohibited Foods
- Prevention of thrush
- Is thrush sexually transmitted?
Candidiasis (thrush) - causes, symptoms, diagnosis, treatment, complications and prevention of candida fungus
What an unpleasant discovery for many girls is the presence of white curdled discharge on the genitals with bad smell reminiscent of something sour. In a fit of fear, one immediately thinks of the most terrible sexually transmitted diseases. This is one of the most frequent and extremely unpleasant diseases of women - thrush. Knowing what thrush is and how to deal with it is necessary not only for girls, but also for men, because almost everyone can overtake this malaise.
Thrush refers to diseases that affect the skin and mucous membranes. Photos of thrush confirm that not only the mucous membranes of the genital organs, both men and women, but also the membranes of the mouth and tongue, skin folds become the habitat of the infection. Since it can be found in almost all people, it is necessary to know how thrush is called differently or scientifically.
This disease is caused by the opportunistic fungus Candida. This is how the thrush got its medical name - candidiasis. Depending on where candida began to actively develop, as in the photo, the name of the disease also depends. scientific name thrush, which happens on the genitals of women - vaginal candidiasis, on the penis of a man - candidal balanoposthitis, in a child in the mouth - candidal stomatitis. With complications of the disease and the transition of fungal formations to other parts of the body, you need to know what it is called and what it means:
Causes of candidiasis
Thrush is a fungal disease, so the cause of its occurrence is the Candida fungus, which begins to multiply intensively under favorable circumstances. most common cause thrush disease in men and women becomes reduced immunity. His condition may be affected by an exacerbated chronic or catarrhal disease, chemotherapy, stress, change of residence, etc. proper nutrition. As soon as the immune system has decreased, candida begins to multiply and displaces the beneficial lactobacilli that previously controlled its numbers.
No less often candidiasis disease in both sexes is caused by prolonged treatment with antibiotics, which also inhibit the microflora and disrupt its imbalance, allowing candida to multiply.
Other causes of thrush disease can be seen in the photo:
The female disease thrush develops in the absence of proper hygiene on critical days, the wrong choice of tampons, and allergies to synthetic underwear.
Symptoms and manifestation
Considering numerous pictures and photographs, you can systematize the main symptoms that thrush has. They are extremely diverse, since Candida fungi affect not only the reproductive system, but also other organs. The main signs of candidiasis infection (thrush), which are visible in the photo, are:
- When the intestines are damaged, tissue necrosis occurs, leading to the development of ulcers. Patients have bloody stools, abdominal pain, bloating, vomiting, or nausea.
- With the development of female thrush in the genitourinary system, burning and itching of the skin of the external genital organs is observed, the mucous membranes are covered with a white coating. The discharge is profuse and accompanied by a repulsive odor.
- When infected with candida of the oral cavity, formations resembling sour milk appear on the mucous membranes. They can be not only in the mouth, but also spread to the throat, lips, and tongue.
Diagnosis of thrush and detection of candida fungus
Based on the clinical manifestations and description of the disease, candidiasis in men and women, the doctor can make a diagnosis. With mild symptoms of the disease or with a latent form, one has to resort to laboratory methods for studying secretions (formations). Knowing what candidiasis means, the doctor will not offer PCR, PIF or ELISA methods for diagnosis. These studies are ineffective for the detection of candida, because this fungus is constantly present in the body. Simpler ones are much more efficient. laboratory research: smear and culture culture.
- A swab is taken from the vagina (from the walls in the mouth, from the tongue or other affected surfaces) for further examination of the contents under a microscope.
- Cultural sowing is carried out using a nutrient medium on which the fungus begins to actively multiply, if it was present in the secretions.
Treatment of thrush: medical and folk
Only a properly defined course of treatment for thrush will help to get rid of this disease forever. Therapy involves not only a decrease in the number of fungus, but also the elimination of the causes that led to the violation of the microflora.
Antifungal drugs are prescribed to fight the infection itself. For the treatment of an early form of the disease that does not have complications, local therapy is used (suppositories, ointments, creams). A quick cure for the disease is promised by drugs used once:
- Flucostat
- Diflucan
- Forkan
However, it should be noted that the data medicines only reduce the amount of fungus, but do not fight the cause that caused its growth.
In relapses, it is useful together with antifungal drugs take medications that boost immunity. The course of treatment will be longer, but it guarantees getting rid of further manifestations of the infection. Of the vitamin preparations for candidiasis, it is good to take vitamin C. Immunomodulators effectively restore immunity. Some herbal infusions also contribute to the strengthening of vitality. Douching with chamomile and calendula reduces the formation of secretions.
In the treatment of vaginal candidiasis is prohibited:
Complications of thrush: photos and descriptions
The thrush disease shown in the following photos is an example of the fact that untimely or incorrect treatment leads to numerous complications and deviations in health. A careless attitude to the state of one's own body allows the fungus to form entire colonies that can turn into cancerous tumors.
Most often, the complications of thrush affect the kidneys and the digestive tract. Especially unpleasant are the consequences of female thrush for pregnant women. Complication of pregnancy and infection of the embryo can be observed at any time. If several organs of the fetus are affected at once, abortion occurs. During childbirth, a baby can also become infected with a fungus and get congenital stomatitis.
Relapses of thrush are the result of poor-quality or completely absent treatment of the disease. They lead to the spread of infection to other organs.
Prevention of candidiasis
Any gynecologist will say that candidiasis in women and men is easier to prevent than to treat with drugs. Since the most common factor provoking the active reproduction of the Candida fungus in thrush is the uncontrolled intake of antibiotics, it is necessary to stop treatment with these drugs without a doctor's prescription.
Strong immunity will not allow the development of the disease candidiasis.
Each organism has its own individual characteristics, so some will have to partially change their lifestyle in order for the candidiasis disease to go away forever:
- Stop taking contraceptives if they affect the change in microflora.
- Regulation of nutrition, an increase in the diet of fermented milk products and the exclusion from it of products that contribute to the reproduction of a yeast infection.
- The choice of perfumes and cosmetics for intimate hygiene, pads that do not cause female disease
- Avoiding hypothermia
- Using a condom when having sex with a new partner
- Stress relief
- Complete cessation of smoking
- Eliminate synthetic underwear from your wardrobe
Having learned enough about what thrush means and what discomfort it causes, try to protect yourself from its manifestation. May the Candida fungus never cross the permissible threshold of abundance in our body.
Acne with thrush: when and why do they appear?
When hearing about thrush, many people think of itching, burning, curdled discharge from the genital tract, or a child's tongue and cheeks covered with white coating. But these are not all symptoms.
The Candida fungus that causes thrush can affect any organ. A rash on the skin can be both the primary focus of infection in candidiasis, and a signal that somewhere there is a fungus or another disease that worsens the condition of the body.
- With the primary defeat of the fungus of the skin. The so-called candidiasis of smooth skin.
- With congenital candidiasis.
- In men with candidal balanoposthitis.
- With systemic candidiasis.
- With allergic reactions to the Candida fungus.
- Smooth skin candidiasis
With candidiasis of smooth skin, skin folds are primarily affected: axillary, inguinal, intergluteal, interdigital, folds behind the auricles. There are also acne on the face, torso, limbs, palms, soles.
At the same time, small blisters, papules (red formations rising above the skin), pustules are formed on the skin - vesicles with purulent contents. The elements of the rash do not merge. In their place, erosions form over time, which increase in size and merge.
Have clear jagged edges and bordered by a white collar of desquamated epithelium. The surface of the erosions is shiny, lacquered.
Candidiasis is characterized by the appearance around the main lesion of fresh papules and pustules. At the same time, itching, burning and even pain are disturbing.
Diaper candidiasis occurs in infants. It manifests itself as a rash in the area anus, intergluteal and inguinal folds. If left untreated, the rash spreads throughout the skin.
It is localized in the area of growth of the beard and mustache, groin, armpits, on the skin of the trunk and extremities. It occurs when the body loses its strength: in people with a weakened immune system, with HIV infection, with oncological diseases, especially leukemia, with diabetes mellitus. Provokes folliculitis long-term therapy of rashes with ointments containing hormones or antibiotics.
congenital candidiasis
Occurs when the fetus becomes infected during pregnancy. The baby is born with a rash or it appears 12 hours after birth. On a red background of inflamed skin, papules, vesicles or pustules quickly appear.
Candida balanoposthitis in men
A rash in men appears on the head of the penis. These are small papules that turn into pustules and vesicles. After their opening, erosions with clear edges and a white coating are formed. Erosions merge.
Systemic candidiasis occurs in debilitated patients with severe immunodeficiency:
- in drug addicts;
- with HIV infection;
- in oncological diseases. Especially in blood diseases;
- with long-term use of drugs that depress immune system as well as antibiotics.
With systemic candidiasis, the fungus affects internal organs: the heart, lungs, intestines, pancreas, etc. Penetrates into the bloodstream and leads to sepsis.
Papules up to 1 cm in diameter appear on the skin of the trunk and extremities against a red background. central part papule is pale. Over time, the papules become hemorrhagic. Papules quickly undergo necrosis. The appearance of papules is combined with a rise in temperature, pain in the muscles, eyes, visual impairment. Candida is found in the discharge from the papules.
The very presence of candida, even the asymptomatic carriage of the fungus in the body, can cause an increased sensitivity of the body to its proteins - antigens. Those. there is a sensitization of the body to the antigens of the fungus. This leads to the appearance of an allergic rash outside the primary focus of infection.
For example, with vulvovaginal candidiasis - a fungal infection of the vagina and vulva, a rash occurs on the trunk, face, limbs, feet and hands. These rashes are called candidomycids.
They look like vesicles (vesicles with liquid content) and papules (red formations rising above the skin), spots, peeling.
They arise in response to insufficient effective treatment the main focus of infection, the use of glucocorticoid hormones, antibiotics and cytostatics.
With thrush, which appeared on distant parts of the body, acne of an allergic nature is also called levurides or moniliids. Usually their appearance is combined with an increase in temperature up to 37ºС, a general malaise and weakness. In the main focus of infection, inflammation also increases.
Microscopic examination of the Candidomycidae fungi themselves is not found in them, which confirms their allergic nature. But when setting up skin tests with specific antigens, they are sharply positive.
With thrush, acne disappears on its own in the treatment of the main focus of infection. Without treatment or with improper treatment, eczema appears.
Conditions are necessary for the manifestation of candidiasis. The fungus normally exists in the human body, without causing painful manifestations. But as soon as we get sick, candidiasis also makes itself felt. Thrush is the first sign that there is a problem in the body.
12.04.2017
One type of mycosis is candidiasis on the face. The disease is characterized by rashes that have clear edges, exfoliating epidermis is observed around.
The surface of the lesions is smooth with whitish patches. Dermatologists distinguish 2 forms of the course of the disease: erythematous and vesicular.
The first form causes redness and swelling of the skin, the second - acne and blisters. The course of the disease can be: acute and chronic.
The second option occurs as a result of an acute form of candidiasis. Regular relapses of the disease indicate problems with immunity. The chronic form is diagnosed in those who are often sick.
Small blisters of rashes with thrush appear around the mouth. Among the symptoms, patients distinguish dry skin, seizures and cracks in the corners of the lips. If thrush often recurs, allergic reactions are possible in the form of eyelids affected by eczema. The eyelids become swollen, itchy, covered with bubbles. In the case of infection, the onset of eczema and erythroderma is possible.
Often, candidiasis of the skin of the face is manifested by cheilitis - damage to the folds of the lips. The reason is in contact with saliva. The inflamed skin is covered with a white coating, after the removal of which red damaged skin is revealed. Moist erosions on the skin of the face may coalesce to form delineated lesions with erythematous patches on the sides.
In men, thrush on the face manifests itself in the form of candidal folliculitis. The disease is caused by ointments containing corticosteroids. The skin in the area of the mustache and beard is often affected, it looks like furunculosis, dermatitis or impetigo.
There are over 130 species of fungi in the Candida family, of which about 10 are dangerous to humans. Candida albicans fungus often contributes to the development of candidiasis on the skin, C. Parapsilosis fungus causes the disease less often, and very rarely C. Krusei and C. Glabrata. These pathogenic microorganisms can affect not only the skin of the face, but also the feet, hands, legs, nails, hair, and mucous membranes.
If fungi manage to get into the bloodstream, it provokes systemic candidiasis, a life-threatening disease. It is important to diagnose the problem in time and immediately begin to fix it.
Factors causing thrush on the skin of the face, are similar to those that provoke a fungus in other parts of the body. All reasons can be divided into 2 types - internal and external.
The internal ones include pathologies of the endocrine system, diabetes mellitus, beriberi, the postoperative period after complex interventions (surgeries on the lungs, heart, gastrointestinal tract), alcohol intoxication, diseases of the gastrointestinal tract, AIDS.
Also at risk are people with cancer, undergoing therapy, taking antibiotics for a long time.
External factors include production risks (when alkali, acid, other harmful substances), neglect of personal hygiene, the presence of cracks and microtraumas on the skin.
Often, thrush is diagnosed in housewives who come into contact with water and household chemicals, y medical workers, in the elderly due to weakened immunity.
Diagnosis of candidiasis
During the appointment, the doctor examines the affected skin, listens to the patient's complaints, suggests the cause of the disease, but does not make a diagnosis. To confirm or refute the doctor's suspicions, a scraping of the affected skin should be taken to the laboratory for examination under a microscope.
In laboratory conditions, ELISA, PCR methods can be used. It is important to establish the number of fungi in the scraping, as this will allow you to assess the extent of the lesion. If the patient treats the disease for a long time, but there are no results, then additional tests will need to be taken.
This is necessary to differentiate thrush from other diseases with similar symptoms. It is necessary to exclude eczema, psoriasis, scab, herpes, lupus erythematosus, seborrheic dermatitis.
Treatment of candidiasis on the skin of the face
Proper treatment of candidiasis on the face and body involves an integrated approach. Only then can we expect that the thrush will soon pass and will not return soon. An important role is played by the establishment of the cause that caused the activity of the fungus.
The cause must not only be identified, but also eliminated. After that, you can closely deal with the treatment of the fungus.
The course of treatment includes 3 main areas:
- Fungus removal. For this purpose, ointments containing Castellani liquid are often prescribed, boric acid, rivanol.
- Normalization of microflora with the help of lactobacilli.
- Treatment of major diseases that caused a decrease in the body's defenses.
Among antifungal drugs, the doctor can choose nystatin and its analogues, levorin, natamycin, amphotericin B, as well as drugs of the azole group (clotrimazole, fluconazole).
Local remedies are used with a parallel effect on the body from the inside. For this medicine, the doctor selects, taking into account the age and general condition of the patient. With severe manifestations of itching, medications can be prescribed to reduce unpleasant symptoms.
Ointments prescribed by a doctor, solutions should be applied regularly, without missing a single time. Usually, therapy involves treating the affected areas several times a day.
The acute form of thrush is treated in 7-10 days. To strengthen the immune system and to avoid relapses, vitamins are prescribed. Of particular importance are: nicotinic acid, B vitamins, ascorbic acid.
Traditional medicine for candidiasis on the face
Apart from drug treatment the doctor can recommend effective traditional medicine recipes that are used in parallel with the main drugs.
simple and cheap option- treat lesions with a solution of soda, iodine and water. For 0.5 liters of boiled water, you need 1 tsp. soda and 0.5 tsp. iodine. The solution is used instead of washing, reduces swelling and redness, dries weeping ulcers.
Decoctions medicinal herbs used as solutions for washing and lotions. Such herbs showed good efficiency: chamomile, sage, celandine, calendula. To prepare a decoction for 1 liter of water, 2 tablespoons are taken. herbs.
The mixture is brought to a boil and infused for about half an hour. After the solution is filtered, cooled to room temperature. With such a medicinal decoction, you can moisten a sterile bandage and make a compress on the skin affected by the fungus.
Herbs have anti-inflammatory and antiseptic effects, restore the skin and create unfavorable conditions for the reproduction of the fungus.
Affected skin can be lubricated with kefir, yogurt. The lactobacilli in them will directly affect the fungus.
To increase the amount of vitamins in the body and improve health, you need to drink juices in the range - carrot, multivitamin, apple. It is useful to brew ginseng root, wild rose. It is important to include vegetables and fruits, dairy products in the diet.
diet for candidiasis
In the treatment of thrush of any localization great importance has proper nutrition. On its basis, the microflora of the body is formed.
In a healthy person, Candida fungi are normally always present, but the right diet and a healthy lifestyle allow you to keep a colony of fungi within certain limits. In case of power failures, a manifestation of dysbacteriosis is possible, the microflora changes in composition, and fungi gain freedom of action.
Following the rules of a healthy diet, you can speed up recovery, prevent the appearance of candidiasis and other diseases.
- reduce the consumption of sugar and fast carbohydrates, fast food and convenience foods;
- introduce foods rich in vitamins and fiber into the diet;
- be sure to consume fermented milk products daily (yogurt, fermented baked milk, kefir, sour cream, etc.). You should not dwell on a specific product, fungi are able to get used to a certain effect;
- replace fried meat and fish with dishes cooked in the oven, steamed, boiled;
- include garlic, onions, red peppers, propolis in the menu;
- limit the use of mustard, soy sauce, ketchup, alcohol.
Among the preventive measures, there are recommendations to limit contact with carriers of the infection. If someone close to you is sick with a fungus, all items and clothing must be disinfected. While the patient is undergoing treatment, he needs to allocate separate hygiene items, dishes. In the house, you need to frequently clean and disinfect surfaces.
Self-medication for candidiasis is unacceptable. Medications, terms of treatment and dosage of drugs should be prescribed only by a specialist. The doctor selects a treatment regimen based on the results of laboratory tests, the general picture of the disease, the condition and age of the patient, and the presence of contraindications.
If obesity is among the causes of candidiasis, you need to lose excess weight, adjust your diet, consume more vegetables and sour fruits, meat and fish, protein foods. Be sure to observe hygiene, using the means recommended by the doctor.
Fermented milk products are mandatory for all patients, except for those with lactose intolerance. With proper diagnosis and a well-designed treatment regimen, candidiasis quickly passes, and if preventive measures are followed, it does not return anymore.
For many people today, such a disease as thrush is associated primarily with gynecological diseases. However, thrush can also affect the mucous membrane of organs, oral cavity, as well as the skin. And one of these diseases is candidiasis on the face. Treat infection quite difficult. However, modern drugs, traditional medicine and other means are able to get rid of this disease in the shortest possible time.
pathogens
Any candidiasis on the face is caused by yeast-like fungi in areas of the skin - these are fungi of the genus Candida. Such fungi live in the skin and mucous membranes of any, even a healthy person, while not causing any pathological changes. Researchers now count about 200 various kinds fungi, but the disease is most often caused by Albicans Candida.
Here are some internal causes that lower immunity and help develop the disease:
- Colitis, gastritis and ulcers, as well as other diseases of the gastrointestinal tract;
- Interventions of an operable nature, as well as hemodialysis, blood transfusion and similar manipulations;
- HIV and chronic diseases viral type;
- increased sweating;
- Cancer disease;
There are other influences - physical and chemical. They cause irritation to the skin.
Among them are:
- Increase in air temperature and humidity;
- The effect of various chemicals on the skin, as well as the effects of alkali and acid;
- Violation of hygiene rules;
- Injuries to the skin, including abrasions, burns and cuts.
Considering the foregoing, it can be noted that thrush on the face is that fungal-type infection that many citizens are susceptible to. This is especially true for those who work with the production of antibiotics and confectionery products. This also applies to those who work with fruits and vegetables.
Symptoms
It should be noted that thrush The face is a disease that everyone can get, regardless of their gender or age. However, pensioners and children are at risk. In children, immunity is not yet sufficiently formed, while in pensioners and just elderly citizens it is weakened.
Symptoms of the disease include the following:
- The appearance of small red spots on the skin. This is a symptom that appears in the first stages;
- On those areas of the skin that are affected by the disease, blisters and papules appear, as well as vesicles and other manifestations;
- The blisters that appear on the skin begin to gradually, that is, one by one, burst, thereby creating wet erosion;
- With all this, the zone in which the defeat will occur will become larger and larger. It differs by relatively smooth contours.
Another characteristic feature of this disease is human face is burning and itching. In some individual situations, fungi can switch not only to the face as a whole, but also to the corners of the lips and other inconspicuous places and points.
Forms, types and types of disease
In total there are a couple of main forms of this disease, the main difference between these diseases lies in the manifestations, their basis and classification. These are the forms:
- Erythematous. This candidiasis of the facial skin is characterized by swelling and redness. Bubbles with this form are quite small or they are completely absent;
- The second form is vesicular. It is characterized by large accumulations and number of skin blisters and blisters. Also, this form is distinguished by redness. This form can be confused with another lesion of the skin of a bacterial nature. For the same reason, you should not try to get rid of the main symptoms of this type of disease on your own. Therefore, it is best to consult a dermatologist for a consultation.
Diagnostic procedures
Diagnostic procedures and the diagnosis itself can be made after the analysis has been carried out. In order to diagnose and identify the disease, it is necessary, first of all, to do a scraping from those areas of the skin that have been affected.
After that, as part of the diagnostic work, biological materials are transported to appropriate examinations under several microscopes. And this is not all types of procedures, however, after a detailed study, it is necessary to determine the type of fungus, as well as the concentration and diversity of the species.
Today in modern medical institutions there is specialized equipment with which you can find out how stable, protected and supple the fungus is in the process of exposure to one or more pharmacological agents.
And only after the doctor has carried out all the necessary diagnostic work, the severity and form of the disease will be checked and established.
Treatment
If we are talking about treatment, then thrush on the face is a disease that is really quite difficult to cure. At the same time, therapy should be multitasking, and with the obligatory use of not one, but several different methods. The treatment of infection in this case differs in such areas as:
- Elimination of various pathogens and causes of diseases;
- Treatment of many diseases that are concomitant;
- Increased immunity;
- Restoration of the skin and its healthy appearance.
In order to reach results of treatment, a wide variety of means are used, including treatment with medicines, as well as vitamins, physical therapy and many other options.
Treatment of the disease with medicines
Therapy with drugs today is one of the main methods of treating a disease such as candidiasis of the skin of the face. There are treatment options such as:
- Ointments that counteract fungi;
- Antihistamine preparations. They are needed in order to get rid of allergies;
- Complexes of vitamins;
- Means that counteract the appearance of fungus;
- Probiotics.
In order for the treatment to be effective, the medication should be taken as completely as possible. The duration of drug therapy is determined directly by the attending physician, according to the individual characteristics of the person.
Even after improving well-being, you can not stop using the drugs. This should not be done even with the first improvement.
It should be noted that the treatment of the disease can be quite long, especially if the patient cannot properly and properly care for the skin that has become infected.
There are several important rules that need to be noted. It is important to observe them for those who have been identified with candidiasis on the face. For example:
- It is not recommended to engage in combing the inflamed area of the skin. The only thing this can lead to is an increase in the affected area, as well as the transfer of an emerging infection from the skin under the nail area;
- Another point to remember is that you need to wash your skin. warm water. This water should not have foam. You can also use cleansing gels for the same purpose;
- Liquid soap may also be used;
- Moisturizing creams are also contraindicated in this case. They create a specialized film that prevents the removal of heat and moisture. Therefore, such creams are prohibited for use;
- In order to apply makeup, it is possible and recommended to use only hypoallergenic types of cosmetics. However, the funds must be washed off completely and without residue before going to bed. It will also help to neutralize the greenhouse effect.
When treating a sick person, it is necessary to allocate a separate towel. Pillowcases should be changed once every three days.
Main danger
The skin is one of the options for protecting the whole body, which reflects all possible problems his inner state. It is important to remember that candidiasis as a disease only seems outwardly a low-dangerous disease. In reality, any incorrect or untimely treatment, as well as violation of hygiene rules and combing already damaged areas, can cause serious, and sometimes completely irreparable and serious consequences.
Among them are such as:
- If not treated in time or treated incorrectly, then scars or scars may remain on the face;
The disease can switch to the nails, fingers, or other areas of the body
Prevention
Among the main preventive measures, it is necessary to highlight the following:
- Compliance with hygiene and the use of detergents;
- Only proper and high-quality nutrition;
- moderate activity;
Conclusion
It is important to remember that only proper and high-quality skin care, as well as immune support, will prevent fungi from multiplying.