Attacks of the skin by fungi are extremely common in warm countries. ‘Athlete’s foot’, a fungal contamination between the toes, is normally acquired where people go barefooted, e. g at swimming pools and the changing rooms and baths at clubs. It usually starts between the third, fourth and fifth feet and may be simple redness and scaling, but cracks are likely to develop. the skin becomes macerated, whitish and soggy, and a clear, mucoid chemical oozes from it. the condition is intensely itching and sometimes spreads to the adjacent skin of the foot. less commonly influences the hands, visages, armpits and other areas. The fungus is resilient and persists in shoes and socks and could be transmitted on towels. Mainly because soon as the condition appears medical attention should be sought as appropriate diagnosis is essential and treatment is not always easy. Causes of Fungal Infection on face
A hot, damp climate and wet toes are predisposing factors. The preventive steps are:
-careful drying between toes
-the application of a dusting powder between the toes and
-wearing of slippers in community bathrooms.
Once the condition develops an exclusive towel should be used for the toes, it should be sterilized by boiling and should be kept independent from other towels. natural cotton socks should be worn and boiled after using. shoes and slippers should be treated inside with formalin solutions. various fungicidal preparations are obtainable for local application, but cream or powder containing tolnaftate (Tinaderm) is probably the best. the cream can be used for treatment and the powder should be arranged for dusting as a prophylactic.
There are many different anti-fungal preparations available, older preparations such as Whitfield’s ointment and Castellani’s paint, are still useful and many are readily available when proprietary preparations are not.
‘Dhobie itch’ is an infection of the groins, which is a common condition in warm countries: it is acquired generally from infected towels and it is characterized by brownish or reddish itchy areas, having a scaly surface and a slightly raised border. the condition is cured with a fungicide, and the same care as that described in the previous paragraphs must be taken with personal bathroom towels, underclothing, etc. For very intensive fungus infection, a doctors advice with view to treatment should also be sought.