Possible Reasons for Persistent Fungal Infection

• Common causes include moisture, friction, and compromised immunity.
• Factors like obesity, diabetes, or poor hygiene can contribute.
• Potential fungal resistance or incorrect diagnosis may be involved.

Challenges with Treatment Effectiveness

• Antifungal medications like itraconazole may only provide temporary relief due to incomplete treatment, reinfection, or improper application.
• Fungal resistance or mixed infections might require different approaches.

Recommendations for Management

• Confirm diagnosis with appropriate tests (e.g., fungal culture).
• Maintain hygiene, keep the area dry, and avoid irritants.
• Consider longer or combination antifungal therapy under specialist supervision.
• Monitor for underlying conditions like diabetes that may impair healing.

When to Seek Further Medical Advice

• Re-evaluation by a dermatologist or infectious disease specialist is needed if symptoms persist.
• Consider a skin biopsy or alternative treatments if standard therapy fails.