Treatment for Candidal Rash of the Groin

First-Line Topical Treatment

• Topical azole antifungals are the treatment of choice for groin candidiasis (intertrigo), with no single agent demonstrating superiority over others, according to the Infectious Diseases Society of America 1, 2

When Topical Therapy Fails

• Consider non-albicans Candida species (such as C. glabrata) which may require alternative therapy, as recommended by the Centers for Disease Control and Prevention 3, 2
• For refractory cases, oral fluconazole can be considered, although this is not the preferred first-line treatment by the American College of Obstetricians and Gynecologists, and instead is more commonly used for vulvovaginal candidiasis, however an alternative source suggests it as an option 4

Common Pitfalls to Avoid

• Do not treat sexual partners unless they have symptomatic balanitis with erythema and pruritus, as advised by the Centers for Disease Control and Prevention 3