Conversation: The conversation between human and AI assistant.
[|Human|] I have been fighting a fungal infection for what seems like forever but nothing seems to make it any better. I also have an HPV comorbity at the moment that makes it so much worse..n I have large raised red dry plaques that split and cause painful fissures.i have used prescription lamisil, nizoral otc miconazole and clotrimazole and lamisil pills for the last 10 days (maybe it was immune to the pills due to prior use of lamisil?). Have been soaking in apple cider vinaigar which stings like hell. Could it be a bacterial or viral thing or an auto immune issue as opposed to fungal? I take symbicort inhalers as well... thanks, itchy and severely frustrated.
[|AI|]  Hello thank you for your contact to Chat Doctor. If I am your treating doctor I would like to tell you that you are using a Symbicort inhalers that makes you vulnerable to fungal infection. So most probably your infection might be fungal. But you can confirm it by the Gram stain from the lesion. Also, if possible do fungal culture and sensitivity. As per the report start your treatment. You will be all right in a week after starting the sensitive Chat Doctor.  If you have to ask anything else to me kindly contact me Chat Doctor. Infectious disease specialist.