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Baby, Red Rash, Smells Fishy

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Posted on Tue, 22 May 2012
Question: My 7 week old baby has a red neck and underarms. She did have a rash but its gone. I'm worried because there is white stuff accumulating there and it smells fishy. What can it be?
doctor
Answered by Dr. Jasvinder Singh (2 hours later)
Hello,

Thanks for posting your query.

The symptoms are suggestive of fungal infection like thrush of the skin.

Fungal infections in new born are common in the folds of skin like neck, armpits and diaper area/ groins. Fungal infections thrive in warm, moist place and fold of the skin like neck. They provide perfect environment for its growth. White smelly discharge on neck skin is again mostly part of fungal infection.

Keep the skin dry and softly. XXXXXXX it dry with a soft towel. Keeping the area as dry as possible. They will help in quick healing.

If the symptoms persist then topical antifungal lotion may be needed. It can be prescribed by a doctor. It needs to be used delicately over the skin of infants preferrably under a medical guidance. You should consult her pediatrician in that case.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Jasvinder Singh (20 hours later)
Thank you for your response. I have used canisten cream on her twice a day after a bath on 3 occasions (not consecutive), is this harmful? Also the smell is not apparent every day, I have only noticed it on 2 different occasions within a 3 week period, is this definitely a final infection? I'm just worried it could be fish odour syndrome and the thought of that scares me.

Thank you
doctor
Answered by Dr. Jasvinder Singh (8 hours later)
Hello,

Canesten cream is used for fungal infection but it is advisable to use it under a medical guidance. The best treatment is keeping the area clean and dry as fungal infections thrive in moist skin.

To confirm the diagnosis as fungal infection, it needs to be examined and a KOH examination of the white discharge or skin scrapings done.

It does not sound like fish odor syndrome which is a rare metabolic disorder that causes a defect in the normal production of the enzyme Flavin containing monooxygenase 3 and it causes malodorous dead fish smell to be released through breath, sweat, and urine. It is not confined to the skin only.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Jasvinder Singh

Internal Medicine Specialist

Practicing since :1998

Answered : 1578 Questions

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Baby, Red Rash, Smells Fishy

Hello,

Thanks for posting your query.

The symptoms are suggestive of fungal infection like thrush of the skin.

Fungal infections in new born are common in the folds of skin like neck, armpits and diaper area/ groins. Fungal infections thrive in warm, moist place and fold of the skin like neck. They provide perfect environment for its growth. White smelly discharge on neck skin is again mostly part of fungal infection.

Keep the skin dry and softly. XXXXXXX it dry with a soft towel. Keeping the area as dry as possible. They will help in quick healing.

If the symptoms persist then topical antifungal lotion may be needed. It can be prescribed by a doctor. It needs to be used delicately over the skin of infants preferrably under a medical guidance. You should consult her pediatrician in that case.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Regards