Fungal infection in groin area,anal itching and discomfort, burning sensation on tongue, strange taste in mouth

Professional Assessment: The constellation of symptoms strongly suggests a systemic candidiasis presentation, with Candida albicans being the most likely pathogen affecting multiple mucocutaneous sites (oral cavity, groin, and perianal region). The pathophysiological mechanism likely involves an overgrowth of opportunistic fungal organisms, possibly due to immune system alterations, recent antibiotic use, or underlying conditions such as undiagnosed diabetes mellitus that should be ruled out in a 33-year-old male. Given the multi-site involvement, recommended diagnostic workup should include oral and genital fungal cultures, comprehensive metabolic panel, HbA1c, HIV testing, and complete blood count to evaluate for underlying immunocompromised states or metabolic conditions that may predispose to widespread fungal colonization. Risk factors specific to this demographic include occupational factors (prolonged sitting, tight clothing), athletic activities, personal hygiene practices, and potential undiagnosed metabolic or immunological conditions that become more prevalent in early-to-mid adulthood.

For the fungal infection symptoms affecting multiple areas, I recommend using an oral antifungal medication like Fluconazole (150mg single dose) combined with topical antifungal cream containing Clotrimazole 1% for the groin and anal area, applying twice daily for 2 weeks. For oral symptoms, use Nystatin oral suspension (swish and swallow 4 times daily) and maintain strict oral hygiene, while avoiding spicy foods and maintaining good groin area hygiene with regular cleaning and keeping the area dry. For additional treatment recommendations, ask in the chat.