Managing Athlete's Foot: Overcoming Recurring Infections and Treatment Options

Athlete's foot issue?

Hello Dr.
Wu,
I have been dealing with athlete's foot for some time now.
A few years ago, it led to a cellulitis infection, and whenever I get infected, I need to be hospitalized for intravenous antibiotic treatment.
Recently, just before the Lunar New Year, I was hospitalized again for this issue.
During my stay, I consulted a dermatologist who recommended that I take oral medication.
I also had blood tests done, and my liver enzymes were slightly elevated.
I have been on oral medication for almost a month now and have been regularly going back to the hospital for follow-up blood tests with the gastroenterology and dermatology departments.
The dermatologist advised me to continue the oral medication for at least three months.

However, the problem is that during this time, I occasionally experience cellulitis infections in my left calf.
Given this situation, can I stagger the timing of taking antibiotics and the oral medication for athlete's foot? These issues have been troubling me for a long time.
Is there any way to eradicate them completely? Or should I consider taking some dietary supplements? Thank you, Dr.
Wu.

Xiao Ye, 40~49 year old female. Ask Date: 2013/02/22

Dr. Wu Yuxin reply Dermatology

If there is a simultaneous fungal and bacterial infection, antibiotics and oral medications for athlete's foot can be taken together without the need for special timing.
Athlete's foot can definitely be treated, but it is prone to recurrence.
Maintaining personal foot hygiene and keeping the feet dry are the most important factors.

Reply Date: 2013/02/22

More Info

Managing athlete's foot, or tinea pedis, can be particularly challenging, especially for individuals who have experienced recurrent infections and complications such as cellulitis. Your situation is not uncommon, and it highlights the importance of a comprehensive approach to treatment and prevention.

Firstly, it's essential to understand that athlete's foot is a fungal infection that thrives in warm, moist environments. This means that proper foot hygiene is crucial. Here are some strategies to help manage and potentially overcome your recurring athlete's foot infections:
1. Maintain Dryness: After washing your feet, ensure they are thoroughly dried, especially between the toes. You might consider using a fan or a hairdryer on a cool setting to help with this. Keeping your feet dry can significantly reduce the likelihood of fungal growth.

2. Footwear Choices: Opt for breathable shoes made of materials like leather or canvas. Avoid wearing the same pair of shoes every day; instead, rotate them to allow each pair to dry out completely. Additionally, wearing moisture-wicking socks can help keep your feet dry.

3. Antifungal Treatments: Since you are already on oral antifungal medication, it’s crucial to follow your dermatologist's advice regarding the duration of treatment. If you are experiencing side effects or have concerns about your liver function due to the medication, discuss these with your healthcare provider. They may adjust your treatment plan or monitor your liver function more closely.

4. Managing Cellulitis: If you are experiencing recurrent cellulitis, it is vital to address this with your healthcare provider. You can take antibiotics for cellulitis, but it’s essential to space them out from your antifungal medication as advised by your doctor. Always consult your physician before making any changes to your medication regimen.

5. Preventive Measures: Consider using antifungal powders or sprays in your shoes and on your feet to help prevent fungal growth. Regularly disinfecting your footwear and ensuring that your socks are changed daily can also help.

6. Diet and Supplements: While there is limited scientific evidence supporting the use of dietary supplements for fungal infections, maintaining a balanced diet rich in vitamins and minerals can support your immune system. Some people find that probiotics can help maintain a healthy balance of bacteria and fungi in the body, but consult with your healthcare provider before starting any new supplements.

7. Regular Follow-ups: Continue your regular follow-ups with your healthcare providers, including dermatology and gastroenterology, to monitor your condition and liver function. They can provide tailored advice based on your specific health needs.

8. Skin Care: If you notice any signs of infection, such as increased redness, swelling, or pain, seek medical attention promptly. Early intervention can prevent complications.

9. Lifestyle Adjustments: If you participate in activities that expose your feet to moisture (like swimming or gym workouts), ensure you dry your feet thoroughly afterward and consider wearing flip-flops in communal showers or pools to prevent reinfection.

In conclusion, managing athlete's foot and preventing recurrent infections requires a multifaceted approach that includes proper hygiene, appropriate footwear, effective antifungal treatments, and regular medical follow-ups. If you continue to experience issues, it may be beneficial to seek a second opinion or consult a specialist in infectious diseases who can provide additional insights into your condition. Remember, patience and consistency are key in overcoming persistent fungal infections.

Similar Q&A

Effective Treatments for Athlete's Foot: Top Creams and Remedies

The symptoms of athlete's foot have persisted for over a year. Recently, I've decided to seek treatment. Could you recommend some ointments or treatment methods? Thank you!

Dr. Liao Wenyu reply Dermatology
Hello: The pathogen of athlete's foot is a fungus, which thrives in warm and humid environments. Therefore, it is recommended that Ms. Kiki keep her feet dry and apply antifungal ointment. However, many over-the-counter medications are compounded formulations, so it is impor...

Effective Treatments for Athlete's Foot and Managing Exudate

Hello Doctor: I have a tendency to sweat excessively from my hands and feet. I previously had a history of atopic dermatitis over ten years ago, which resolved on its own as I aged. I also had a history of athlete's foot due to prolonged shoe wear, which was treated successf...

Dr. Li Yufen reply Dermatology
Hello: For a detailed introduction to athlete's foot, you can refer to the article by Med's Good Friend at https://www.medpartner.club/tinea-pedis-treatment-prevention/. In summer, it is recommended to apply a thin layer of ointment. If the lesions continue to expand an...

Effective Antifungal Creams for Treating Recurring Athlete's Foot

Hello Dr. Wu, for recurrent athlete's foot infections, which antifungal cream is more effective, Lamisil (terbinafine) or Mycocide (clotrimazole), or do you have any better recommendations?

Dr. Wu Yuxin reply Dermatology
To treat athlete's foot, one cannot rely solely on medication. If there are recurrent infections, it is important to review personal hygiene habits and whether the skin is kept dry. Otherwise, no matter how effective the medication is, reinfection will still occur. The choic...

Understanding Athlete's Foot: Healing and Recurrence Rates Explained

If a family member has athlete's foot and you have taken careful precautions but still contracted it, what is the likelihood of recovery and the chance of recurrence?

Dr. Jiang Zheen reply Dermatology
Athlete's foot can heal with patience by applying medication for 1-2 months, but it may recur if re-infected. Wishing you good health.