Pharmacology Antifungal #3

Question

A client is experiencing severe itching in the groin and it is determined he has “jock-itch” (tinea cruris) fungal infection. Which medication does the nurse anticipate the health care provider to prescribe for this infection?

Answers

  1. Miconazole
    • Rationale:

      This answer is correct because miconazole is a topical antifungal medication prescribed to treat skin fungal infections, such as “jock itch” (tinea cruris). Tinea cruris has symptoms including an itchy, red, ring-shaped rash observed in the groin area. Moisture can cause this condition and it is found in individuals who are obese, wear tight fitting clothing, or atheletes related to moisture being in folds and the groin area, specifically. Keeping the area dry and clean, along with topical antifungal medications are the main

  2. Metronidazole
    • Rationale:

      This answer is not correct because metronidazole is an antibiotic medication used to treat infections, such as Clostridium difficile (C-diff). (It is also used to treat bacterial vaginosis and trichomonas vaginal infections.) Metronidazole is not used to treat a fungal infection.

  3. Vancomycin
    • Rationale:

      This answer is not correct because vancomycin is an antibiotic only used to treat bacterial infections that can not be treated with something less toxic. Vancomycin has the risk of ototoxicity and nephrotoxicity. It requires blood tests that measure the peak and trough to monitor the effectiveness of the medication using the lowest, effect dosage.

  4. Tetracycline
    • Rationale:

      This answer is not correct because tetracycline is an antibiotic and is not used to treat a fungal infection, such as “jock itch” (tinea cruris). Tinea cruris has symptoms including an itchy, red, ring-shaped rash observed in the groin area. Moisture can cause this condition and it is found in individuals who are obese, wear tight fitting clothing, or atheletes related to moisture being in folds and the groin area, specifically. Keeping the area dry and clean, along with topical antifungal medications are the main treatments for this condition.

Overview

Miconazole is a topical antifungal medication prescribed to treat skin fungal infections, such as “jock itch” (tinea cruris).

Explanation

Learning Outcomes

Tinea cruris or “jock itch” is treated with a topical antifungal, such as miconazole. Tinea cruris has symptoms including an itchy, red, ring-shaped rash observed in the groin area. Moisture can cause this condition and it is found in individuals who are obese, wear tight fitting clothing, or atheletes related to moisture being in folds and the groin area, specifically. Keeping the area dry and clean, along with topical antifungal medications are the main treatments for this condition.

Test Taking Tip

Remember that antifungal medications will not treat bacteria and antibiotics will not treat viruses. Always look at what condition that is being treated with which medication.

Video Rationale