Over the counter antifungal spray causing frostbite: Case study

Abstract

There are many over-the-counter (OTC) patients may seek when treating tinea pedis. There are very few side effects from topical medications since many are sprays, lotions and or creams. Frostbite from OTC antifungal medication is a rare but possible adverse reaction that we should be aware of. We present a case study of a patient who developed frostbite after using an over the counter Miconazole nitrate powder spray for a tinea pedis. The patient presented with pain, numbness, and discoloration of the affected area, which required immediate treatment. This case highlights the importance of careful consideration of potential side effects of OTC medications, even those considered safe and effective, and the need for prompt recognition and management of adverse reactions. By educating patients about the proper use of OTC medications and advise them to seek medical attention if any unusual symptoms arise, we can prevent further iatrogenic damage especially in high risk diabetic patients.

Keywords

• Tinea pedis
• Tinea
• Antifungal spray
• Athletes foot