Brief Answer: Use an antifungal cream & treat fomites too. Detailed Answer: Hi there XXXXXXX XXXXXXX I have gone through your history & description of the rash. I would have to say, at the outset, I tend to agree with your nurse' assessment. It does appear to be a circinate tinea cruris or simply put a 'fungal infection'. However, I disagree yeast are responsible; it appears more like a 'dermatophyte' infection. Use of topical steroids like triamcinolone may have masked the lesion but helped decrease the 'angry' red look. Please switch to a cream containing 2%ketoconazole commonly available the world over as Nizoral. Apply this twice a day over the next week or two & the rash should clear up. Another dose of fluconazole after a week is possibly just what the doc ordered & all will be well. A foot note: please ensure all your undergarments' & towels etc are washed in hot water & dried well to keep the fungal elements at bay. Good Luck & Godspeed! Dr Praveen Rodrigues MD

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