Fungal Infections

Everything you need to know about Fungal Infections - symptoms, causes, treatment options available in Australia, and when to see a doctor. Evidence-based medical information.

Dr. Louis J Sisk
Dr. Louis J Sisk
BSc(Hons) MBChB MRCS(Glasg) MTrauma
August 23, 2025
8 min read

What You Need to Know - The Basics

Fungal infections happen when fungi attack different parts of your body, like your skin or lungs.

The main things to know:

  • They often cause red, itchy, or scaly skin.
  • They can affect anyone but are more common in people with weak immune systems.
  • Most fungal infections are not serious and can be treated with creams or medicine.
  • Fungi love warm, damp places, so keeping skin dry helps prevent infections.

When to see a doctor immediately: If you have a fever, chest pain, or trouble breathing.

Most fungal infections are easy to treat, so don't worry too much!


Overview

This condition is a medical condition that affects your body in specific ways.

How it works in your body (pathophysiology):

Fungal infections affect your body through specific biological processes:

  • Invasion of tissues: Fungal organisms invade your body's tissues. This can cause different symptoms depending on where and how bad the infection is.
  • Interaction with immune response: The fungi interact with your immune system (your body's defence against illness). This often causes inflammation (swelling and redness) and can damage tissues.

Statistics and Prevalence in Australia

Did you know? About 2024 of Australians are affected by this condition.

As of mid-2024, complete how common it is data on fungal infections in Australia is not extensively published by national health authorities such as the Australian Institute of Health and Welfare (AIHW) and the Australian Bureau of Statistics (ABS).

These organisations primarily focus on notifiable communicable diseases, with fungal infections not included in standard how common it is summaries [1][2].

However, it is recognised that fungal infections, such as candidiasis and tinea, are common in the general population, although specific how common it is rates are not readily available.


Symptoms and Clinical Presentation

This condition can show up in different ways, and symptoms may vary between people.

Common symptoms:

  • Symptoms can be mild at first but may get worse over time
  • Each person may experience different combinations of symptoms
  • Symptoms can come and go or be constant

Early warning signs:

  • Subtle changes that may be the first signs of the condition
  • Symptoms that might be easy to miss or ignore

Serious warning signs that need immediate medical attention:

  • Severe symptoms that could indicate complications
  • Any symptoms that get suddenly worse
  • Signs that suggest you need urgent medical care

Important: If you're unsure about your symptoms, it's always better to see a doctor for proper evaluation.

Fungal infections can present with a variety of symptoms depending on the type and location of the infection.

Superficial fungal infections, such as tinea, typically present with itching, redness, and scaling of the skin.

In contrast, invasive fungal infections, such as aspergillosis, may present with respiratory symptoms, including cough, fever, and chest pain.

Early symptoms of fungal infections are often mild and may include localised skin changes or discomfort.

However, advanced presentations can involve widespread skin lesions, systemic symptoms, or organ dysfunction, particularly in immunocompromised individuals.

Red flag symptoms that require immediate medical attention include persistent fever, severe respiratory distress, and neurological symptoms [2][3].


Causes and Risk Factors

This condition happens for several reasons working together. It's important to understand that having risk factors doesn't mean you'll definitely develop the condition.

Main causes:

  • The exact cause may not be fully understood
  • Multiple factors usually work together
  • Both genetic and environmental factors can play a role

Risk factors you can't change:

  • Your age and gender
  • Family history and genetics
  • Previous medical conditions

Risk factors you can influence:

  • Lifestyle choices
  • Environmental exposures
  • Health management decisions

Good news: Understanding these risk factors can help with prevention and early detection.

Fungal infections are caused by various fungi that can be found in the environment, including soil, plants, and on human skin.

Risk factors for developing fungal infections include a weakened immune system, prolonged use of antibiotics, diabetes, and living in warm, humid climates.

Individuals with underlying health conditions, such as HIV/AIDS or cancer, are at increased risk of developing severe fungal infections due to their compromised immune systems.

Additionally, lifestyle factors, such as poor hygiene and close contact with infected individuals or animals, can increase the risk of superficial fungal infections [1][2].


Diagnosis

Getting the right diagnosis is important for proper treatment. Australian doctors follow specific guidelines to ensure accurate diagnosis.

How doctors diagnose this condition:

  • They ask detailed questions about your symptoms and medical history
  • They do a physical examination
  • They may order specific tests if needed
  • They use established medical guidelines and criteria

Tests that might be needed:

  • Blood tests to check for specific markers
  • Imaging studies like X-rays or scans if appropriate
  • Specialist tests depending on your symptoms

Why accurate diagnosis matters: The sooner doctors can diagnose the condition correctly, the faster they can start the right treatment for you.

The diagnosis of fungal infections in Australia follows guidelines provided by authoritative sources such as the Royal Australian College of General Practitioners (RACGP) and the National Health and Medical Research Council (NHMRC).

For superficial fungal infections, diagnosis is often confirmed through fungal microscopy and culture of skin scrapings or nail clippings.

Potassium hydroxide (KOH) preparation is commonly used to visualise fungal elements under a microscope.

In cases of suspected invasive fungal infections, more advanced diagnostic techniques, such as imaging studies and serological tests, may be employed to identify the presence of fungal pathogens in the body.

Accurate diagnosis is crucial for guiding appropriate treatment and management [2][3].


Treatment Options in Australia

Treatment for this condition in Australia follows evidence-based guidelines and is tailored to each person's needs.

Treatment approaches available:

  • First-line treatments: Usually tried first and often most effective
  • Medications: Various medicines that can help manage symptoms
  • Non-medicine treatments: Therapies and lifestyle changes that can help
  • Specialist treatments: More advanced options for complex cases

Good news about costs in Australia:

  • Medicare covers many consultations and treatments
  • The Pharmaceutical Benefits Scheme (PBS) makes many medications more affordable
  • Public healthcare provides access to essential treatments

Treatment planning: Your healthcare team will work with you to create a treatment plan that suits your specific needs and circumstances.

Treatment of fungal infections in Australia is guided by clinical practice guidelines and involves both medicine and non-medicine approaches.

First-line treatment for superficial fungal infections typically includes topical antifungal agents, such as clotrimazole or terbinafine.

In cases of severe or resistant infections, systemic antifungal medications, such as fluconazole or itraconazole, may be prescribed.

The Pharmaceutical Benefits Scheme (PBS) in Australia provides coverage for certain antifungal medications, making them accessible to patients.

Non-medicine treatment strategies include maintaining good hygiene, keeping affected areas dry, and avoiding contact with known sources of infection.

Invasive fungal infections may require more aggressive treatment, including intravenous antifungal therapy and supportive care [2][3].


Living with Fungal Infections

Managing this condition is an ongoing process, but many people learn to live well with proper support and care.

Daily management:

  • Follow your treatment plan as prescribed
  • Keep track of your symptoms and how you're feeling
  • Stay in regular contact with your healthcare team
  • Learn about your condition so you can make informed decisions

Building your support network:

  • Talk to family and friends about your condition
  • Consider joining support groups
  • Work with healthcare professionals who understand your needs
  • Don't hesitate to ask for help when you need it

Self-care strategies:

  • Maintain healthy lifestyle habits where possible
  • Manage stress and get adequate rest
  • Stay as active as your condition allows
  • Focus on activities and relationships that bring you joy

Important: With proper management and support, many people with this condition live full and active lives.

Managing fungal infections involves regular keeping track and follow-up to ensure effective treatment and prevent recurrence.

Patients are encouraged to adhere to prescribed treatment regimens and attend follow-up appointments with their healthcare providers.

Education on self-management strategies, such as maintaining good personal hygiene and recognising early signs of infection, is essential for optimising quality of life.

Psychosocial support may be beneficial for individuals with chronic or recurrent infections, as these conditions can impact mental health and well-being.

Care coordination between healthcare providers is important for managing complex cases and ensuring complete care [2][3].


Prevention

While you can't always prevent this condition, there are steps you can take to reduce your risk or catch it early.

Prevention strategies:

  • Maintain a healthy lifestyle with good diet and regular exercise
  • Avoid known risk factors where possible
  • Get regular health check-ups
  • Know your family history and personal risk factors

Early detection:

  • Learn to recognise early warning signs
  • Don't ignore persistent symptoms
  • See your doctor regularly for health screenings
  • Follow recommended guidelines for your age and risk factors

Lifestyle choices that may help:

  • Don't smoke and limit alcohol
  • Manage stress effectively
  • Get adequate sleep
  • Stay up to date with vaccinations and health screenings

Preventing fungal infections involves adopting lifestyle modifications and hygiene practices to reduce exposure to fungal pathogens.

Recommendations include keeping skin clean and dry, wearing breathable clothing, and avoiding sharing personal items, such as towels and footwear.

Individuals at high risk of fungal infections, such as those with weakened immune systems, may benefit from prophylactic antifungal medications as advised by their healthcare providers.

Public health initiatives aimed at raising awareness about fungal infections and promoting preventive measures can also play a role in reducing the new cases of these infections in the community [2][3].


References

  1. Australian Government Department of Health
  2. Healthdirect Australia
  3. Better Health Channel - Victoria
  4. Australian Institute of Health and Welfare
  5. Royal Australian College of General Practitioners