Candida Folliculitis

Candida folliculitis infections are mostly caused by the microscopic organisms known as Candida fungi which live on the skin. They are usually found on the dead tissues of hair, outer skin layers and nails. Fungal infections leads to the cause of dermatophytes, which causes infection called tinea. Yeast-infection causing pityrosporum and Candida fungi are generally found on the skin surface, but more often found in the warm moist area of the body.
 

Candida Folliculitis
Candida Folliculitis
 
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A report published in 2014 depicts the situation where an outbreak of Candida albicans causing folliculitis was observed which was mistaken as Malassezia Folliculitis earlier among prison inmates. This case was thought of to be a rare one as all the subjects were immunocompetent. Sudden cutaneous eruptions were observed among the first few followed by another 30. On initial diagnosis, Malassezia folliculitis was thought to be the cause of such an incident but the skin cultures revealed a different story. Upon further tests based on Mycosel agar as well as the germ tube production method, it was found that the cause was in fact Candida albicans. It was found later that non-air conditioned environment along with systemic antibiotics and topical steroids lead to pseudohyphal growth that caused such an outbreak. Upon treatment with fluconazole and or other anti-fungal creams this condition was eradicated.

This particular case study states the entire story behind the causes, symptoms and treatment of Candida folliculitis. It is evident that a hot and humid climate along with the use of systemic antibiotics had killed-off the good gut bacteria and led to the above mentioned outbreak, so intake and application of such drugs can prove to be dangerous as it was in this case. Also maintaining an optimum temperature is highly crucial and is of vital importance in case of immunocompromised subjects. But thankfully this condition can easily be treated by common anti-fungals like fluconazole and itraconazole.

Candida folliculitis is a name of a fungal skin condition caused by a pathogenic Candida species. Pustular folliculitis is caused by Candida albicans and it is found in people who are heroin addicts. Candida folliculitis grows as pustules (small bumps on skin) in which vesicles contain pus and nodules, and are sometimes around the area where hairs are present. In Pustular folliculitis, invasive Candidiasis enters in to the blood stream, thereby infecting the whole body. It is found that Pustular folliculitis reported patients are usually healthy but have painful lesions.

 

Causes of Candida Folliculitis

It is found that yeast like Candida multiplies and survives generally in the moist and warm areas. This fungus is found in the intestine, on the skin surfaces and on the skin folds, in the groin, on neck and various other moist parts of the human body. Obese people mostly suffer from Candida folliculitis because they have way too many skin folds, and most of the time moisture is present in the skin folds. Such areas often get damaged when it is scratched or shaved and Candida folliculitis finds its entry into the skin and then the blood streams. Patients suffering from cancer, HIV patients, elderly individuals, drug addicts, and infants are more vulnerable to this infection as they are the easy targets.

 

Symptoms of Candida Folliculitis

The most common site of Candida infection is skin folds and areas which remain moist and warm all the time. These areas include groin, underarm, neck etc.

  1. It has been found that, small pus like pimple develops in and around the hair follicle.

  2. The skin around the infection becomes red and inflamed.

  3. Lot of itching and tenderness is observed in this area.

  4. When this infection is prevailed over a long period of time it can lead to the damage of hair leading to baldness.

  5. If scaring is seen then it may be sign of permanent baldness.

It has been observed that when Candida folliculitis is spreads largely, it may also accompany associated symptoms such as fever, infection in stomach etc.

 

Treatment

Various studies have been done and it was found that it is possible to prevent Candida folliculitis infection and the easiest way to do that is to maintain proper hygienic practice. The area which can be infected should be kept clean and dry. People suffering from various other health conditions should boost their immune system by using various external supplements. Controlling diabetes is also important for people suffering from c.folliculitis.

Candida folliculitis is generally treated with oral dosage of itraconazole which is a type of antifungal drug. Application of anti-fungal creams and ointments is also found to be very effective. Oral anti-fungal medicines are also prescribed by doctors. Home remedies are found to be help full such as using vinegar, tree tea oil and this should be used in diluted form in their carrier state. Above all, the importance of personal hygiene and an optimum temperature over all is of high importance to ward of Candida folliculitis.

 

References:

Candida Folliculitis in Prison Population – Journal of Correctional Health Care – 2014 – By Sheila Jalalat, Lindsey Hunter and Mika Yamazaki
http://jcx.sagepub.com/content/20/2/154
 
Candida folliculitis in heroin addict – International Journal of Dermatology – 1986 – By Leclerc G, Weber M and Contet-Audonneau N
 
Folliculitis barbae caused by Candida – Mycoses Journal – 1999 – By Süss K, Vennewald I and Seebacher C
 
Candida folliculitis in nontoxic patients – Cutis Journal – 1992 – By Ross EV1 and Baxter DL Jr
 
Dermatology – Book by Otto Braun-Falco, ‎Gerd Plewig and ‎Helmut H. Wolff – 2013
 

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