Childhood Diseases

Question
Posted by: Sam | 2011-04-26

Q.

Suspected candida rash

Dear Doc

My son is 3 and a half months old. We suspected a candida rash by his nappy area (top part and genitals). The rash is red and patchy.

We first tried Bepanthen but it never cleared. Then we tried Canesten for about a week and it also never cleared. We then switched to Nystacid ointment (Nystatin) and have applied this for the last 2 weeks. We apply the Nystatin twice (sometimes three times) a day, and Bepanthen in between.

We also changed the nappy brand to see if that would make a difference.

The rash has not got worse - it even appears to be " lighter"  on certain days. However, it has not cleared while using Bepanthen and the Nystatin.

I have been trying to find Antipeol, but that appears to have been taken off the market quite a while ago according to a few pharmacists that I spoke to..

I can only get an appointment with my son''s Paediatrician on Friday 6 May. is there anything else that I should try before that appointment? Is it ok to wait until 6 May?

My son has not been on antibiotics and is exclusively breastfed.

A pharmacists wanted to sell me two creams that he said should be mixed (he said it included a mild cortisone). I never took this as I am scared to apply a cortisone to that area, and without a Doctor taking a look first.

Thank you so much!

Expert's Reply

A.

Paediatrician

You are correct not to use a cortisone ointment in your baby son's nappy area until you have seen a doctor. Your baby's nappy rash is extremely resistant to treatment and does not appear to be due to candida as neither the Nystatin nor the Canesten creams have helped.Nor does this rash appear to be due to a contact rash caused by his nappies.He may well have a zinc deficiency and this rash may be a form of a rather severe nappy rash called 'acrodermatitis enteropathica' which is due to zinc deficiency.Start giving your baby Zinplex syrup every day as it will take a while before his zinc level will return to normal.Please let me know how your baby gets on.

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