Yeast Infection

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Yeast Infection
Yeast Infection

Video: Yeast Infection

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Video: Yeast Infections: Debunked 2023, January
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Yeast infection

Candidiasis of the skin are inflammatory reactions caused by yeasts (mainly Candida albicans). So-called intertriginous areas of the body surface are particularly affected, ie areas in which closely adjacent, sometimes directly opposite skin surfaces constantly come into contact or can come into contact. These include the armpit, groin region, buttock folds, genital region and the area below the female breast as well as between the fingers and toes.

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What are the causes of yeast infections?

Candida fungi are widespread and occur in small numbers in the normal flora of the skin and mucous membranes in many people without causing any problems. Under certain conditions, however, there can be a massive increase and thus inflammation. These include, for example:

  • weakened immune system, (e.g. HIV / AIDS)
  • Diabetes mellitus,
  • Overweight,
  • poor general health,
  • external factors such as diet, hygiene and medication intake (e.g. antibiotics, cortisone, chemotherapy drugs).

People of advanced age, for example in nursing homes, are often affected. In these cases the large skin folds are particularly affected. Candidiasis between the fingers is frequently observed in people who do wet work, such as kitchen staff in the catering trade and those in the fruit and sugar processing industry. Candidiasis in the area between the toes is favored by wearing air-impermeable footwear or frequent stays in the water (swimming). Heavy sweating and limited mobility - as is often the case with bedridden patients - also promote candidiasis of the skin.

How to prevent yeast infection

The frequency of fungal infections is determined by hygienic and living conditions. Vulnerable skin folds should be kept clean and dry. The sharing of towels, hairbrushes, etc. with people suffering from skin fungus should be avoided. This is particularly important in nursing homes and hospitals.

What are the symptoms?

If the large skin folds are affected, weeping skin changes are typical. The edge to healthy skin is formed by a scaly hem. In the initial stage, superficial, flaccid vesicles or pustules can sometimes be seen in the focus, and in hairy areas occasional superficial inflammation of the hair follicles (folliculitis). Candidiasis in the intermediate finger or toe area begins with small blisters that burst quickly and give way to reddening in the bottom of the wrinkle. The edge is shaped by a whitish scales edge. It is not uncommon for painful skin tears to appear.

How is the diagnosis made?

Skin fungus is diagnosed clinically based on the typical skin changes and symptoms. Usually a sample of the infected skin is taken and examined in the laboratory to identify the fungus. In individual cases, a tissue removal (biopsy) followed by a histological examination or further diagnostic procedures are useful. This will especially be the case in the case of very widespread infections in patients with immunodeficiency, in HIV wards or in transplanted people undergoing immunotherapy.

How is a yeast infection treated?

In most cases, skin candidiasis is cured with topically applied antifungal pastes or creams. It is important that the affected skin areas are well ventilated. Systemic therapy may also be necessary in individual cases.

Whom can I ask?

If a fungal skin disease is suspected, a dermatologist should be consulted as soon as possible. Referral to a fungal outpatient clinic is recommended as this enables targeted therapy to be initiated. The earlier a fungal disease is diagnosed and treated, the faster and better the healing will take place. However, waiting or self-treatment can make the fungal disease worse. You can find doctors in your area under Search for a doctor.

How are the costs going to be covered?

All necessary and appropriate therapies are covered by the health insurance carriers. Your doctor or the outpatient clinic will generally settle accounts directly with your health insurance provider. However, you may have to pay a deductible with certain health insurance providers (BVAEB, SVS, SVS, BVAEB). However, you can also use a doctor of your choice (ie doctor without a health insurance contract) or a private outpatient clinic.

For more information, see Costs and Deductibles.

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