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§ 01 · Fungal Infection · Kollam

Fungal infection treatment in Kollam,
itraconazole-led, calibrated for T. indotineae resistance.

Empirical terbinafine is no longer the default. India's T. indotineae outbreak shows 70% terbinafine resistance (Verma 2021 PMID 34245620); we lead with itraconazole 200 mg/day for 4-8 weeks, escalating to itraconazole 400 mg/day for refractory cases. KOH mount, fungal culture, and antifungal-sensitivity testing run before therapy. Topical luliconazole 1% or terbinafine 1% as adjunct.

4.8★ 1,450 reviews
MD DVL Board-certified
US-FDA Approved lasers
IADVL Dermatophytosis Consensus 2021
Kavanad on NH-66 · 5 min from Kollam Junction · Near RP Mall & Chinnakada
§ 04 · Why Kollam Fungal Infections Are Different

70% of Indian dermatophyte isolates show terbinafine resistance — empirical terbinafine fails most of the time.

Verma S et al (J Eur Acad Dermatol Venereol 2021, PMID 34245620) documented 70% terbinafine resistance among Trichophyton indotineae isolates across multiple Indian centres. The IADVL Dermatophytosis Consensus 2021 responded by moving itraconazole 200 mg/day to first-line for widespread or recurrent disease, with terbinafine reserved for culture-confirmed sensitivity. Kollam practice adds KOH + culture + sensitivity testing at presentation rather than empirical therapy. Counselling on compliance (4-8 week course completion, hot-water laundry of linens, no shared towels, treating household contacts) is central.

  • 70%T. indotineae terbinafine resistance in India (Verma JEADV 2021 PMID 34245620)
  • 4–8 wkitraconazole 200 mg/day course for widespread tinea per IADVL 2021 consensus
  • KOH + culturebefore empirical therapy; saves 6-8 weeks of failed treatment
Verma JEADV 2021 PMID 34245620 · IADVL Dermatophytosis Consensus 2021
TERBINAFINE RESISTANCE
70%
of Indian dermatophyte isolates resist terbinafine
0%
30 50 70 100
§ 05 · Clinical Summary

The published protocol, in plain English.

DermaVue Kollam is a dermatologist-owned dermatology clinic providing KOH-confirmed fungal infection and ringworm treatment under board-certified MD DVL dermatologists. IADVL has documented rising terbinafine resistance in Trichophyton indotineae across India, which is why DermaVue diagnoses every case with KOH microscopy before prescribing molecule-specific antifungal therapy. The Kavanad clinic is rated 4.9 stars across 370+ verified Google reviews and follows monsoon-adapted protocols that extend treatment 2 weeks past visible clearing to prevent recurrence.

§ 08 · What's in the room

Eight modalities, sequenced per patient.

01

KOH Microscopy Diagnosis

confirmed identification before any prescription

02

Topical Antifungal Therapy

luliconazole, terbinafine and ciclopirox as molecule-specific options

03

Oral Antifungal Therapy

itraconazole or terbinafine with liver function monitoring

04

Tinea Corporis Care

body ringworm protocols adapted for tropical humidity

05

Tinea Cruris Care

groin and inner thigh fungal infection management

06

Tinea Pedis and Onychomycosis

foot and nail infection with extended-duration therapy

07

Pityriasis Versicolor Treatment

white or brown patch clearance with maintenance plan

08

Recurrent Fungal Infection Clinic

household screening and ping-pong reinfection prevention

09

Pregnancy-Safe Antifungal Plans

topical-only protocols when oral therapy is contraindicated

10

Diabetic Fungal Infection Care

coordinated metabolic and dermatological management

§ 08b · Watch the protocol

Our dermatologists explain the protocol on camera.

Board-certified dermatologists walk through the clinical approach — watch before your first visit.

Fungal Infections of Skin, Prevention Tips in Malayalam
Fungal Infections of Skin, Prevention Tips in Malayalam
CLIP 01 Fungal Infections of Skin, Prevention Tips in Malayalam Prevention and treatment of skin fungal infections, explained in Malayalam.
Piedra Fungal Infection, Causes, Symptoms and Treatment
Piedra Fungal Infection, Causes, Symptoms and Treatment
CLIP 02 Piedra Fungal Infection, Causes, Symptoms and Treatment Piedra and other fungal hair-shaft infections, by DermaVue dermatologists.
§ 10 · Your dermatologists

Two physicians own every consultation note.

Dr Jayalekshmi J and Dr Arunima A both hold the MD DVL postgraduate qualification and own every file together. Continuity of care is the default, not a tagline.

  1. Dr. Jayalekshmi J, MD DVL, Consultant Dermatologist at DermaVue Kollam
    01

    Dr. Jayalekshmi J, MD DVL

    Consultant Dermatologist

    Dermatology, Cosmetology, Medical Dermatology

    • IADVL
    • ACSI
    • IMA
  2. Dr. Arunima A, MD DVL, Dermatologist & Dermatosurgeon at DermaVue Kollam
    02

    Dr. Arunima A, MD DVL

    Dermatologist & Dermatosurgeon

    Dermatology, Dermatosurgery, Lasers & Aesthetic Procedures

    • IADVL
    • ACSI

Direct line to the team WhatsApp +91 80868 60465 →

§ 11 · Frequently asked

The questions every Kollam fungal-infection patient asks. Honestly answered.

Why does ringworm keep coming back during Kollam's monsoon?

Kollam's June to October monsoon pushes humidity above 80 percent, creating ideal conditions for dermatophyte regrowth. Recurrence happens when treatment stops at symptom resolution instead of confirmed microscopic clearance. Our monsoon protocol extends treatment 2 weeks beyond visible clearing and includes follow-up KOH testing to confirm the fungus is fully eliminated.

How long does ringworm treatment take in Kerala's humid climate?

Skin ringworm typically clears in 3 to 4 weeks with consistent prescription antifungal use. In Kollam's humidity, our dermatologists often extend treatment to 4 to 6 weeks to ensure complete eradication. Nail infections require 3 to 6 months. Completing the full course prevents the 20 to 30 percent recurrence rate seen with early stopping.

What is an effective antifungal cream for ringworm in India?

Luliconazole 1 percent cream is currently among the most effective topical options, requiring only once-daily application and showing efficacy against some resistant strains. However, the correct cream depends on the specific fungal species causing your infection, which KOH testing at DermaVue Kollam identifies before prescription.

Can fungal infections spread to family members?

Yes. Dermatophyte infections spread through direct skin contact and shared items such as towels, clothing, combs and bedding. Dr. Jayalekshmi J recommends screening household members when one person is diagnosed and treating simultaneously to prevent ping-pong reinfection within the family.

Why did the pharmacy antifungal cream not work for my ringworm?

Two common reasons. First, many pharmacy-dispensed creams combine an antifungal with a steroid. The steroid suppresses visible symptoms while the infection persists underneath. Second, India is experiencing a rise in terbinafine-resistant Trichophyton indotineae strains. Dermatologist diagnosis with KOH testing at DermaVue Kollam identifies the actual problem.

Is ringworm caused by a worm or a fungus?

Despite the name, ringworm is caused by fungi called dermatophytes, not by any worm. The ring describes the characteristic circular rash pattern. Medical names include tinea corporis for the body, tinea cruris for the groin and tinea pedis for the feet. KOH microscopy at DermaVue confirms the diagnosis.

Are oral antifungal tablets safe?

Oral antifungals like itraconazole and terbinafine are well-studied and safe for most patients when prescribed at appropriate doses with monitoring. Our dermatologists at DermaVue Kollam check liver function before and during treatment. Patients with pre-existing liver conditions receive modified protocols.

How is ringworm different from eczema?

Ringworm produces circular patches with raised scaly borders and relatively clear centres. Eczema appears as irregular intensely itchy patches without a ring pattern. Dermoscopy examination at DermaVue Kollam provides definitive differentiation, which matters because treating one as the other worsens the condition.

Can swimming at Kollam Beach cause fungal infections?

Public beaches and swimming areas can harbour dermatophytes, especially in warm humid conditions. Risk increases when skin stays wet for extended periods after swimming. Thorough drying and antifungal powder application post-swim significantly reduce this risk.

How much does fungal infection treatment cost at DermaVue Kollam?

Dermatologist consultation at DermaVue Kollam costs Rs.300, including clinical examination and KOH microscopy when indicated. Prescription medications are additional, based on your specific infection type and severity. Most uncomplicated fungal infections resolve within one treatment course.

Is fungal infection medicine safe during pregnancy?

Certain oral antifungals require avoidance during pregnancy. Dr. Jayalekshmi J at DermaVue Kollam prescribes pregnancy-safe topical alternatives that effectively manage fungal infections without systemic exposure. Always inform your dermatologist if you are pregnant or planning pregnancy.

Can diabetes make fungal infections worse?

Yes. Elevated blood sugar creates a favourable environment for fungal growth, and diabetes impairs the immune response needed to fight infection. Patients with diabetes often experience more severe, recurring and treatment-resistant fungal infections. Our dermatologists coordinate with your dermatologist to address the metabolic factor alongside the skin condition.

§ 13 · Find us

5 min from Kollam Junction. Near RP Mall & Chinnakada.

Address
UMK Arcade, Vellayittambalam, Kavanad PO, Kollam, Kerala 691003
Hours
Mon–Sat 10 AM–7 PM, Sun Closed
KollamKavanadChinnakadaKarunagappallyParavurKundaraPunalurAnchal
§ 15 · Start today

Book the KOH + culture + sensitivity visit.
Empirical terbinafine wastes 6-8 weeks in 70% of Indian cases.

₹300 consultation · same-day slots available · Kavanad clinic open Mon–Sat 10 AM – 7 PM, Sun closed.

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