Assessment of Persistent Fungal Infection

• A fungal infection persisting for three years despite topical treatments suggests possible resistant fungi, incorrect diagnosis, or inadequate application.

Role of Oral Antifungal Therapy

• Oral antifungal medications, such as terbinafine and itraconazole, are recommended when topical treatments fail. A medical evaluation is crucial before starting oral therapy.

Diagnostic Steps Before Oral Treatment

• Consider diagnostic tests like skin scrapings and fungal culture to confirm the infection and identify the fungus type. A dermatologist consultation is advised.

Additional Management Tips

• Maintain hygiene, keep the area dry, and avoid irritants. Complete the full course of any prescribed treatment.

When to Seek Medical Attention

• Seek urgent medical review if you notice a spreading rash, pain, or signs of secondary infection.