Infection Between Thigh and Groin with Severe Itching and Discharge

Question #28684

45 days ago

120

Infection Between Thigh and Groin with Severe Itching and Discharge - #28684

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عندي التهاب بين الفخذ والعانة من جهة واحدة. بدأ بحكة شديدة وحدود واضحة مع اسمرار خفيف. استخدمت كريم Clotrimazole بالبداية، بعدها زادت الحكة وصار في إفراز. حاليًا في نز لونه أخضر مع رائحة وحرارة بالجلد وألم خفيف. استخدمت Fusidic acid مرة يوميًا لمدة 3 أيام بدون تحسن، بل ساءت الحالة. بدي تقييم إذا في التهاب بكتيري بحاجة مضاد فموي، وإذا في فطريات مرافقة وشو الدواء المناسب ؟

How long have you been experiencing these symptoms?:

- Less than 1 week

Have you noticed any other symptoms such as fever or chills?:

- Yes, but only fever

Have you had any recent changes in your hygiene or clothing?:

- No changes

300 INR (~3.53 USD)

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Doctors' responses

Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

45 days ago

Your symptoms—starting with intense itching and well-defined borders, then progressing to green discharge with odor, local heat, pain, and even fever—strongly suggest a mixed infection (fungal with secondary bacterial infection) in the groin area; it likely began as a fungal infection (such as tinea cruris) and then became complicated by a bacterial superinfection, especially since there was no improvement and worsening with Clotrimazole and Fusidic acid, and the presence of green discharge and smell indicates an active bacterial process that may require oral antibiotics in addition to appropriate topical antifungal and antibacterial treatment, so prompt in-person medical evaluation is recommended to confirm the diagnosis and start the correct therapy while keeping the area dry and minimizing friction.

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

43 days ago

Hello
Your symptoms (green discharge, odor, warmth, worsening despite creams like Clotrimazole and Fusidic acid) suggest a 🛑bacterial infection on top of a fungal infection.
You will likely need an oral antibiotic, such as Amoxicillin/clavulanate or Cephalexin, usually for 5–7 days, plus continuing an antifungal cream.
See a doctor within 24 hours for proper treatment. ⚠️
Thank you
Take care

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

43 days ago

بناءً على الأعراض التي وصفتها، يبدو أنك قد تكون تعاني من عدوى مختلطة بين الفطرية والبكتيرية. بدايةً، الحكة والاحمرار مع الاسمرار والتفاصيل التي ذكرتها تشير إلى وجود عدوى فطرية، والتي يبدو أنك قد بدأت علاجها باستخدام كريم Clotrimazole. ومع ذلك، فإن الإفراز ذو اللون الأخضر والرائحة الكريهة مع الحرارة والألم يشير إلى احتمال وجود عدوى بكتيرية. في مثل هذه الحالات، استخدام مضاد حيوي موضعي مثل Fusidic acid دون تحسين قد يدل على الحاجة إلى تقييم أكثر شمولاً وربما علاج فموي لتوجيه الحالة بالشكل الصحيح. من المهم مراجعة طبيب لتأكيد التشخيص المناسب. قد يوصي الطبيب بإجراء مزرعة لتحديد الكائن المسبب وتحديد المضاد الحيوي المناسب في حالة كانت العدوى بكتيرية. ويمكن النظر في استخدام مضاد فطري موضعي أو فموي لتغطية الأسباب الفطرية المحتملة، خاصة إذا كانت العدوى مختلطة. حتى ذلك الوقت، ينصح بتجنب الملابس الضيقة والحفاظ على منطقة الجرح جافة قدر الإمكان لتقليل مخاطر التهيج وزيادة العدوى. تأكد من استشارة الرعاية الصحية في أقرب وقت ممكن، خاصة إذا كانت الأعراض تتفاقم أو تتسع المنطقة المصابة.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

45 days ago

Hello dear
I think it is probably fungal infection probably candidiasis
Iam suggesting some tests and precautions for improvement
Please follow them for atleast two weeks
Candid/clomed/clozed twice a day for 15 days
Micogel to be applied topically
Nizoral	 for Skin application
Terbinafine	250 mg twice a day for 5 days ( oral)
in addition
Apply lulliconazole or fusidic acid topical application twice a day for 5 days
Prevent moisture contamination
Dry the involved organ
In case of no improvement consult general physician (medicine) for better clarity
Hopefully you recover soon
Regards

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

42 days ago

Hello
Thanks for sharing these details. The symptoms you describe—severe itching, well-defined darkened borders, green discharge with odor, warmth, mild pain, and worsening despite using both clotrimazole (antifungal) and fusidic acid (antibiotic)—suggest that the area may now have a secondary bacterial infection (possibly “superimposed” on a fungal infection).
### What this likely means:
- Initial fungal infection (tinea cruris/jock itch): Well-defined, itchy, darkened patch is classic.
- Secondary bacterial infection: Green, foul-smelling discharge, warmth, and pain suggest bacteria have infected the area, especially since it’s not improving with topical treatments.
### What to do next:
- See a doctor in person as soon as possible. You likely need an in-person evaluation to confirm the diagnosis and may require a prescription for oral antibiotics, and possibly a different antifungal.
- Do not use more creams until you see a doctor, as mixing treatments can sometimes worsen irritation.
- Keep the area clean and dry. Gently wash with water, pat dry, and avoid tight clothing.
### When to seek urgent care:
- If redness spreads rapidly, you develop fever, or the pain becomes severe.
You’re right to consider that oral antibiotics may be needed.
Rx- tab ofloxacin and ornidazole - once a day for 5 days
Tab Flucanazole 150 mg - once a day for 5 days
Thank you

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

40 days ago

جلدي مختلط (فطري + بكتيري) في منطقة الفخذ والعانة.
بداية الحكة مع حدود واضحة تشير غالبًا إلى فطريات (تينيا)، ولكن تطور الحالة إلى:
إفراز أخضر مع رائحة
إحساس بالحرارة والألم
وجود حمى
يشير إلى حدوث عدوى بكتيرية ثانوية فوق الفطريات.
هذا يعني:
الحالة لم تعد فطرية فقط، بل أصبحت عدوى مختلطة وتحتاج علاج أقوى.
ما يجب فعله الآن:
1. علاج موضعي:
استخدام كريم مضاد فطري + كورتيزون خفيف + مضاد بكتيري (تركيبة مركبة) مرتين يوميًا
أو الاستمرار على مضاد فطري (مثل كلوتريمازول أو كيتوكونازول) مع مضاد حيوي موضعي مناسب
2. غالبًا تحتاج مضاد حيوي فموي:
بسبب:
الإفراز الأخضر
الرائحة
الحمى
يُفضل مراجعة طبيب للحصول على:
مضاد حيوي فموي مناسب (مثل أموكسيسيلين-كلافولانيك أو حسب التقييم)
3. العناية بالمنطقة:
الحفاظ على المنطقة جافة ونظيفة
ارتداء ملابس قطنية واسعة
تجنب التعرق والاحتكاك
عدم استخدام أي كريمات عشوائية
راجع الطبيب بشكل عاجل إذا:
زادت الحرارة أو الألم
توسعت المنطقة المصابة
لم يتحسن الوضع خلال 2–3 أيام
طمأنة:
الحالة قابلة للعلاج، لكن تحتاج علاج مناسب ومبكر لأن هناك عدوى بكتيرية مرافقة.
لا تؤخر العلاج  زيارة الطبيب ضرورية في هذه الحالة.

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