Understanding Persistent Ringworm

• Ringworm may persist due to resistance, incorrect diagnosis, or inadequate treatment duration.

Importance of Accurate Diagnosis

• Confirm diagnosis with a dermatologist, possibly using skin scrapings or fungal culture.

Review of Current Medications

• Terbinafine and Itraconazole are antifungals; Levocetirizine is for allergy symptoms.

Next Steps in Management

• Consult a dermatologist for re-evaluation.
• Consider alternative antifungal treatments or combination therapy.
• Ensure adherence to treatment duration and proper application.

Additional Measures

• Maintain hygiene, avoid moisture, and prevent spread.
• Monitor for side effects or complications.

When to Seek Immediate Medical Attention

• Urgent care needed for worsening infection, secondary bacterial infection, or systemic symptoms.

Relevant Medical Specialties

• Dermatology is key for managing persistent fungal infections.

Diagnostic Tests

• Skin scraping microscopy, fungal culture, or biopsy may be needed to confirm diagnosis and guide treatment.