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Male genital candidiasis - Anogenital in
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Male genital candidiasis - Anogenital in

Contributors: Rajini Murthy MD, Susan Burgin MD, Mary Spencer MD, Ann Lenane MD, Sireesha Reddy MD, Amy Swerdlin MD, Manasi Kadam Ladrigan MD, Carol Berkowitz MD
Other Resources UpToDate PubMed

Synopsis

Candidiasis is a fungal infection caused by the yeast Candida albicans. It can be acquired perinatally, in adolescence through intercourse with an infected individual, or occur idiopathically in children of all ages. It frequently occurs in diabetic individuals and immunosuppressed individuals, and after treatment with oral antibiotics.

Candida
can infect the proximal shaft, scrotum, and crural folds. Candidal balanitis is an infection of the glans penis. It occurs more frequently in uncircumcised males.

In its mildest form, the condition may be intermittent and transient.

Genital or crural candidiasis that is recurrent or persistent and that occurs in concert with more widespread candidal infections of the mucous membranes, skin, and nails may be seen in chronic mucocutaneous candidiasis (CMCC). CMCC may present with candidal diaper dermatitis in infancy.

Related topics: neonatal candidiasis, oral candidiasis

Codes

ICD10CM:
B37.42 – Candidal balanitis

SNOMEDCT:
240708000 – Penile candidiasis

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Reviewed:06/22/2021
Last Updated:06/22/2021
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Patient Information for Male genital candidiasis - Anogenital in
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Contributors: Medical staff writer

Overview

Male genital candidiasis is a fungal infection caused by the yeast Candida albicans. This yeast is typically found in small amounts in the body but certain medications and predisposing health factors can cause the yeast to grow in warm and moist environments. It can be contracted through intercourse or spontaneously. The fungal infection presents as minor itching and burning with small red bumps.

The infection can also occur in other areas of the body including the mouth, the genital area of the female (more commonly known as a yeast infection), and also the bottom area of babies. If the yeast infection enters the body it is referred to as invasive candidiasis.

Who’s At Risk

Those at risk include:
  • Infants
  • Elderly
  • Chemotherapy recipients
  • Those who are immunocompromised, using steroids, or recent antibiotics
  • History of obesity, AIDS, certain skin diseases, or diabetes mellitus
  • Those with indwelling catheters

Signs & Symptoms

Candidiasis presents as small bumps with itching and burning. It typically appears in warm, moist areas. On the penis it usually develops on the proximal shaft and the scrotum.

Self-Care Guidelines

  • Bathe or shower regularly. Uncircumcized men: Carefully clean and dry under the foreskin 
  • Carefully follow all treatment recommendations for other conditions you may have, such as diabetes or HIV
  • It is recommended that you get screened for diabetes, HIV, and sexually transmitted infections
  • If your sexual partner has recurring candida yeast infections, get treatment for your partner

When to Seek Medical Care

If you experience the symptoms above, seek medical care to receive appropriate treatment options. Seek medical care if lesions persist despite treatment.

Treatments

Your health care provider will help you optimize your treatment of underlying diseases, such as diabetes or HIV.

You may be prescribed antifungal agents and topical therapies to help alleviate your symptoms.

For persistent or recurring infection, you will be guided to additional screenings for diabetes, HIV, or other sexually transmitted diseases.
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Male genital candidiasis - Anogenital in
A medical illustration showing key findings of Male genital candidiasis : Burning skin sensation, Erythema, Penis, Scrotum, Skin erosion, Pruritus
Clinical image of Male genital candidiasis - imageId=272796. Click to open in gallery.  caption: 'Tiny erythematous papules, with background erythema and scant scale on the distal penis.'
Tiny erythematous papules, with background erythema and scant scale on the distal penis.
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