Fungi live on plants, soil, animals, indoor items, and even on our bodies (1). The human body often provides an ideal atmosphere for fungus to thrive, but when the invasion becomes too much for a baby’s immunity to handle, it results in a fungal infection.
What are the various types of fungal infections that can affect a baby? In this MomJunction post, we provide information on the various fungal infections in babies, their symptoms, treatment options, and prevention methods.
Are Fungal Infections Common In Babies And Toddlers?
Fungal infections can affect anyone, including babies and toddlers. Infants and toddlers may be more susceptible since their immune system is still developing and not robust enough to fight the infections in general.
There are various types of fungal infections and several modes of transmission through which a baby can catch a fungus.
Types Of Fungal Infections
Fungal infections are distinguished based on their location on the body, severity, and the kind of fungus involved. They can be broadly categorized under the following types (2).
- Superficial or cutaneous fungal infections affect the hair, nails, and upper layer of skin.
- Subcutaneous fungal infections affect the tissue beneath the upper layer of the skin.
- Systemic fungal infection is the most severe and affects multiple tissues in the body.
A category can consist of several fungal infections with each infection caused by a different type of fungus.
Causes, Symptoms, And Treatment Of Fungal Infections In Babies
There are several types of fungal infections. Each type of fungal infection can have unique symptoms and treatment methods. Below is a list of the most common fungal infections that affect babies and toddlers.
1. Tinea or ringworm infections
It is a fungal skin infection common across all age groups (2). Tinea infections are caused by a group of fungi called dermatophytes. These infections are named based on the part of the body affected, namely tinea capitis for the scalp, tinea pedis for feet, and tinea corporis when the skin of any other part of the body is affected (3) (4) (5).
- Direct contact with an infected parent, caretaker, or another baby.
- Sharing items such as napkins, toys, combs, etc., with an infected person.
- Coming in contact with an infected surface such as floors or playmats of the creche or by infected carpets or couches.
- Playing with an infected pet.
- Frequent nail trauma that may provide an opening for the fungus to enter.
- Presence of existing skin problems, like psoriasis.
- Immunocompromised babies and toddlers, like those with leukemia or HIV.
- Initially, the lesion starts as a flat, red, and scaly spot on the skin.
- Gradually, the infection begins to spread outward in a circular direction.
- The outermost edge of a lesion appears red and swollen.
- As it spreads more towards outside, the center part of the lesion begins to look healthier.
- There might be one or multiple patches in different areas of the body. These lesions might be itchy.
The topical application of one or more of the following could be prescribed by the doctor (6).
2. Oropharyngeal candidiasis or thrush
It is an infection of the oral mucosa. It can affect the throat, gums, palate, inner part of the lips, or tongue (7).
- Candida albicans (C. Albicans) is a type of fungi that is always present in small amounts in the oral cavity of human beings, and the good bacteria in the body keeps the growth of the fungus under check.
- At times, when the body’s immunity is compromised, the balance of microorganisms gets disrupted, and the body is invaded by the fungus that grows out of control.
- Babies and toddlers who have been given broad-spectrum antibiotics are at a higher risk of getting affected by thrush. It is due to the depletion of good bacteria, which usually compete with fungus and prevent infection.
- It is more common in immunocompromised babies.
- White patches are seen on cheeks, gums, palate, throat, tongue, or the inside of the lips in babies with oral candidiasis.
- These lesions might cause a burning sensation in the mouth.
- The babies may not eat or eat less food than usual and might get cranky.
Thrush often goes away in two weeks after the commencement of treatment with the following topical medicines (6).
- Gentian violet
- Nystatin suspension
- Amphotericin B suspension
3. Candida diaper rash
Also called diaper dermatitis, candida is highly prevalent in babies. The fungus grows rapidly in moist areas, thereby causing diaper rash (8).
- Contact with urine and fecal matter raise the pH of the skin, which makes it easier for the fungus to multiply.
- Ammonia is released when urine, in contact with the baby’s skin, is broken down by the bacteria in the area. Ammonia irritates the baby’s skin and may also break the skin, making it easy for the fungus to multiply and grow.
- Direct usage of broad-spectrum antibiotics by the baby or ingestion of milk from mothers who took antibiotics may lead to this infection.
- Not changing the diaper frequently can make the baby susceptible to candida infection.
- It causes dark red patches on the buttocks, thighs, or around the genitals.
- The patches often appear inflamed.
- The babies might look uncomfortable and be fussier than usual.
- They might cry when the diapers are being changed or when they are being cleaned.
Topical application is the most common treatment for candida diaper rash (6). A doctor may prescribe the following ointments, creams, or powders for the condition.
- Amphotericin B
Fungal infections can happen to any infant or toddler, but some factors may increase the probability of acquiring an infection.
What Are The Risk Factors Associated With Fungal Infection?
The following conditions and situations might make a baby susceptible to fungal infections:
- Malnourishment (9)
- Excessive sweating (10)
- Close proximity to pets, farm animals, and stray animals (11)
- Babies born with a birth weight of less than 1,500g (12)
- Babies born prematurely (7)
- Infected parents or caretakers (13)
- HIV infection (2)
- Obesity (13)
If your baby is prone to repeat fungal infections, then discuss with your healthcare provider about the precautions you should take. Timely treatment leads to a good prognosis and a complete recovery.
Diagnosis Of Fungal Infection
Fungal infections are usually diagnosed through clinical examination and medical history. If required, the doctor may scrape the lesion and send it for a microscopic examination or a culture test. At times, they may use ultraviolet light to see the lesion more clearly.
The doctor will prescribe the treatment based on the type of fungus causing the infection. Always seek a doctor’s suggestion before considering any OTC ointments, gels, or medicines for your baby. Parents may also consider some home remedies for relief.
Home Remedies For Fungal Skin Infection In Babies
Several natural remedies have been in use to get relief from fungal infection. The evidence on their efficacy is mostly anecdotal.
- Tea tree oil is known for its antimicrobial properties. Some people use diluted tea tree oil for nappy rash.
- Oats tied in a muslin cloth and added to the baby’s bathing water may soothe the diaper rash.
- Aloe vera is known for its soothing effect on the skin. Fresh aloe vera pulp or gel from a bottle may be used to provide some relief.
- Some people apply breast milk directly to the lesion as breast milk is said to have natural healing properties.
- Some scientific evidence is available to establish the role of oregano oil in helping the healing of fungal infections. But the studies were not done on humans and are not conclusive. More research is needed to establish its efficacy (14).
- Traditionally, chamomile has been in use to treat diaper rash. However, there is a lack of scientific evidence to confirm its efficacy (15).
- Some researchers have proven the efficacy of honey in curing various skin problems and infections. However, this needs to be studied further (16).
There is no conclusive scientific evidence to prove the efficacy of home remedies for fighting fungal infections. Also, babies and toddlers have delicate skin, which could be sensitive. Therefore, it is best to consult a doctor even if you plan to use home remedies against fungal infections.
Can You Prevent Fungal Infection In Babies?
It may not be possible to prevent all fungal infections. But taking precautionary measures may minimize the risk of infections. Here are some such measures.
- Dress the baby in a fresh diaper each day. Change the baby to a fresh diaper for the night, even if the baby has not soiled the diaper they are wearing.
- Always keep your baby and their surroundings clean.
- As fungus tends to grow in moist areas, always towel dry your baby and give some cloth-free time to babies after bathing.
- Wipe the baby’s buttocks and surrounding areas with warm soapy water after they soil a diaper. Let the baby dry thoroughly before putting a fresh diaper. Your pediatrician may recommend an antifungal diaper powder.
- If your baby has a rash, then use the rash cream recommended by your doctor in the prescribed amount and frequency.
- Try and avoid sharing combs, linen, towels, hats, etc.
- Avoid any contact of the baby with persons who have an infection.
- If the baby has a fungal infection in one part of the body, avoid using the same towel to dry the other parts of the body.
- Discourage the baby from touching the infected part or scratch it as it might lead to further spread of the infection.
- Make them wear shoes in public places.
- Have your pets regularly screened for fungal infections and get them treated when needed.
Frequently Asked Questions
1. Is fungal infection contagious in babies?
Yes, fungal infections are highly contagious. They can spread from one person to the other and also from one infected part of the body to the other. Therefore, babies need to avoid contact with pets and family members who have a fungal infection.
2. Can babies be born with fungal infections?
Babies are not born with a fungal infection but can develop one within a few days of birth. For instance, babies who are born with very low birth weight (12) or prematurely (7) may be prone to fungal infection. Prolonged hospital stay post-birth might also increase the chances of fungal infections in babies.
Fungal infections are common, but they are also treatable. Keep an eye on the baby’s skin and oral cavity for any lesions that could indicate the presence of fungus. Do not hesitate to see your pediatrician if you suspect infections.
Do you have something to share about fungal infection in infants and toddlers? Do share it with us in the comment section below.
2. Akansha Jain, Shubham Jain, and Swati Rawat, Emerging fungal infections among children: A review on its clinical manifestations, diagnosis, and prevention; Journal of Pharmacy and Bioallied Sciences
3. Narcisa Mandras et al, A case report of tinea capitis in infant in first year of life; Biomed Central Pediatrics
4. Antoni Bennassar and Ramon Grimalt, Management of tinea capitis in childhood; Journal of Clinical, Cosmetic and Investigational Dermatology
5. Nourchene Toukabri et al., Prevalence, Etiology, and Risk Factors of Tinea Pedis and Tinea Unguium in Tunisia; Canadian Journal of Infectious Disease and Medical Microbiology.
6. Antifungal agents for common paediatric infections; Journal of Pediatrics Child Health
7. Jose Endrigo Tinoco-Araujo et al., Invasive Candidiasis and oral manifestations in premature newborns; Journal of Einstein (Sao Paulo)
8. Alexandro Bonifazm, Superficial Mycoses Associated with Diaper Dermatitis; National Center for Biotechnology Information
9. Mamdouh R. Sakr, Fungal and Bacterial Infection in Malnourished Children and its Relation to Severity of the Disease; Journal of Medical Sciences
10. Alok Kumar Sahoo and Rahul Mahajan, Management of tinea corporis, tinea cruris, and tinea pedis: A comprehensive review; Indian Journal of Dermatology
11.Pet-Related Infections; American Family Physician
12. Jan Hau Lee et al., Risk Factors for Invasive Candidiasis in Infants >1500 g Birth Weight; National Center for Biotechnology Information.
13. Shyam Verma and R Madhu., The Great Indian Epidemic of Superficial Dermatophytosis: An Appraisal; Indian Journal of Dermatology
14. Manohar V et al., Antifungal activities of origanum oil against Candida albicans; National Center for Biotechnology Information
15. Janmejai K Srivastava, Eswar Shankar and Sanjay Gupta, Chamomile: A herbal medicine of the past with bright future; National Center for Biotechnology Information.
16. N.S Al-Waili, An alternative treatment for pityriasis versicolor, tinea cruris, tinea corporis and tinea faciei with topical application of honey, olive oil and beeswax mixture: an open pilot study; Journal of Complementary therapies in medicine