Effective Treatment for Ringworm: Using Ketoconazole & Antibiotics"

Published on, 04 June, 2024. Answered by Dr. Anna Chacon and Verified by Dr.Galen Team
Patient Question

Hello Doctor,

I am concerned about a condition affecting my foot. It appears to be a ringworm, and it's troubling me because it keeps oozing liquid. I've been using ketoconazole 2% topical cream and taking Cephalexin 500 mg and Terbinafine 250 mg. Is this normal?

Answered by Dr. Anna Chacon

Hello,

Thank you for reaching out to Dr. Galen. Please find the below response to your query.

Firstly, it's essential to acknowledge that ringworm, a fungal infection medically known as tinea pedis, can manifest diverse symptoms, ranging from redness and itchiness to discharge or oozing. The occurrence of oozing, while not uncommon in severe cases or those complicated by secondary bacterial infections, demands attention. Persistent discharge typically indicates either inadequate response to treatment or potential secondary infection.

Your current treatment regimen is commendable. Ketoconazole cream serves as a potent antifungal agent, targeting the root cause of the infection. Terbinafine, an oral antifungal medication, complements the topical therapy, enhancing systemic eradication of the fungal overgrowth. Additionally, the inclusion of Cephalexin, an antibiotic, is prudent, as it addresses potential bacterial complications accompanying the fungal infection.

However, the persistence of oozing warrants proactive intervention. I recommend scheduling a follow-up examination to reassess the status of the infection. During this visit, we can evaluate the treatment's efficacy and consider alternative therapeutic approaches if necessary. Meanwhile, adhere diligently to the prescribed regimen, ensuring consistent application of the ketoconazole cream and adherence to the oral medications.

Maintaining cleanliness and dryness of the affected area is pivotal in inhibiting further microbial proliferation. Consider employing sterile bandages to shield the lesion, mitigating the risk of contamination and facilitating optimal healing. Should you encounter exacerbation of symptoms or the onset of new manifestations such as fever or heightened discomfort, promptly notify us for prompt evaluation.

In conclusion, while your current treatment strategy demonstrates clinical soundness, the persistence of oozing necessitates vigilant monitoring and potential modification of therapy. Rest assured, we remain committed to alleviating your discomfort and facilitating your swift recovery.

Warm regards,


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