Skin Infections

Skin Infections Treatment in Washington, DC

Board-Certified Dermatologist | 34+ Years Experience

Skin infections can develop when bacteria, viruses, fungi, or other microorganisms affect the skin. Depending on the cause, a skin infection may cause redness, swelling, itching, pain, scaling, blisters, bumps, drainage, or changes in skin color.

Some skin infections are mild and respond well to treatment, while others can spread or become more serious without appropriate care.

At Yolanda C. Holmes, M.D., P.C., Dr. Holmes provides personalized evaluation and treatment for skin infections in Washington, DC. As a board-certified dermatologist with more than 34 years of experience and a focus on skin of color, Dr. Holmes considers the appearance, location, symptoms, severity, and suspected cause of each infection when developing an appropriate treatment plan.

Or call us: 202-737-6800

What Is a Skin Infection?

A skin infection occurs when microorganisms invade the skin and multiply.

Skin infections can be caused by different types of organisms, including:

  • Bacteria
  • Fungi
  • Viruses
  • Parasites

The symptoms and treatment depend on the organism responsible for the infection.

Some infections affect only the surface of the skin, while others can involve deeper tissues.

Common Types of Skin Infections

Bacterial Skin Infections

Bacteria can cause several types of skin infections.

Examples include:

  • Impetigo
  • Cellulitis
  • Folliculitis
  • Erysipelas
  • Infected wounds
  • Certain abscesses

Bacterial infections may cause redness, warmth, swelling, tenderness, drainage, crusting, or pain.

Some bacterial infections require prescription antibiotics or other medical treatment.

Fungal Skin Infections

Fungi can affect the skin, nails, scalp, and other areas of the body.

Common fungal infections include:

  • Ringworm
  • Athlete's foot
  • Jock itch
  • Tinea versicolor
  • Fungal nail infections
  • Certain scalp fungal infections

Symptoms may include scaling, itching, discoloration, cracking, or ring-shaped patches.

Learn more about Fungal Skin Infection Treatment in Washington, DC →

Viral Skin Infections

Certain viruses can cause visible skin lesions or growths.

Examples include:

  • Warts
  • Molluscum contagiosum
  • Certain viral rashes
  • Herpes simplex infections
  • Shingles

Viral infections can have very different appearances depending on the specific virus.

Learn more about Warts Treatment in Washington, DC →

Parasitic Skin Infections

Certain parasites can affect the skin.

Scabies is one example and can cause intense itching and a characteristic rash.

Because scabies can spread through close contact, prompt diagnosis and treatment can help reduce transmission.

What Do Skin Infections Look Like?

Skin infections can look very different depending on their cause.

Possible signs include:

  • Redness or darker discoloration
  • Swelling
  • Warmth
  • Tenderness
  • Pain
  • Itching
  • Scaling
  • Blisters
  • Pustules
  • Crusting
  • Open sores
  • Drainage
  • Ring-shaped patches
  • Clusters of bumps
  • Changes in skin texture

On darker skin tones, inflammation may not always appear bright red. It may appear brown, purple, gray, or darker than the surrounding skin.

Because different infections can resemble inflammatory skin conditions, accurate diagnosis is important.

What Causes Skin Infections?

Skin infections can develop when microorganisms enter or multiply on the skin.

Factors that may increase the risk of certain infections include:

  • Cuts or breaks in the skin
  • Scratches
  • Insect bites
  • Excess moisture
  • Sweating
  • Close skin-to-skin contact
  • Shared personal items
  • Contact with contaminated surfaces
  • Weakened immune defenses
  • Certain chronic medical conditions
  • Repeated skin irritation
  • Exposure to communal environments

However, skin infections can occur in people without obvious risk factors.

Are Skin Infections Contagious?

Some skin infections are contagious, while others are not.

Certain bacterial, fungal, viral, and parasitic infections can spread through:

  • Direct skin-to-skin contact
  • Contact with infected lesions
  • Shared towels or clothing
  • Shared personal items
  • Contaminated surfaces
  • Close household contact

The risk of transmission depends on the specific infection.

If you have a potentially contagious skin infection, following your dermatologist's recommendations can help reduce the risk of spreading it to others.

When Should You See a Dermatologist for a Skin Infection?

Consider scheduling a dermatology evaluation if you develop:

  • A rapidly spreading rash
  • Increasing redness or discoloration
  • Swelling
  • Pain or tenderness
  • Pus or drainage
  • Blisters
  • Crusting or open sores
  • Persistent itching
  • A rash that does not improve
  • Recurrent skin infections
  • A suspected fungal infection
  • A new cluster of bumps or lesions
  • A skin infection that returns after treatment
  • Symptoms that worsen despite over-the-counter treatment

Professional evaluation can help determine whether the problem is actually an infection and identify the appropriate treatment.

Skin Infections and Skin of Color

Skin infections can occur in people of every skin tone.

However, infection-related inflammation may appear differently depending on natural pigmentation. Redness may be less obvious on darker skin, while inflammation can appear brown, purple, gray, or darker than the surrounding skin.

After an infection resolves, temporary changes in pigmentation may also remain.

With a focus on skin of color, Dr. Holmes considers the patient's natural pigmentation, appearance of the affected area, symptoms, and individual skin characteristics when evaluating skin infections.

Learn more about Dermatology for Skin of Color in Washington, DC →

How Are Skin Infections Diagnosed?

Diagnosis begins with a dermatologic examination and medical history.

Dr. Holmes may consider:

  • Appearance of the affected skin
  • Location and distribution
  • Type of lesions
  • Symptoms
  • How quickly the condition developed
  • Whether it is spreading
  • Recent exposures
  • Previous infections
  • Previous treatments
  • Relevant medical history

Depending on the suspected cause, additional testing may be recommended.

Testing may include:

  • Skin swabs or cultures
  • Fungal testing
  • Skin scrapings
  • Examination of affected tissue
  • Other laboratory testing
  • Biopsy when another diagnosis needs to be ruled out

Accurate diagnosis is particularly important because bacterial, fungal, viral, and inflammatory skin conditions can sometimes look similar.

Skin Infection Treatment Options

Treatment depends on the underlying cause.

Depending on the diagnosis, treatment may include:

  • Topical antibiotics
  • Oral antibiotics
  • Topical antifungal medications
  • Oral antifungal medications
  • Antiviral medications
  • Prescription topical medications
  • Treatment for parasitic infections
  • Wound care
  • Drainage of certain collections of infection when appropriate
  • Supportive skin care

Antibiotics do not treat fungal or viral infections, and antifungal medications will not treat bacterial infections.

This is why identifying the underlying cause is an important first step.

Dr. Holmes will evaluate the affected skin and recommend treatment based on the specific infection and your individual circumstances.

Bacterial vs. Fungal vs. Viral Skin Infections

Different types of infections often require completely different treatments.

Bacterial infections may cause warmth, swelling, tenderness, drainage, crusting, or rapidly expanding areas of inflammation.

Fungal infections frequently cause itching, scaling, discoloration, or ring-shaped lesions, although appearances vary.

Viral infections may cause clusters of bumps, blisters, or growths such as warts.

These patterns can overlap, and some noninfectious skin conditions can look similar.

A dermatologist can help determine which type of condition is most likely and whether testing is appropriate.

Can a Skin Infection Go Away on Its Own?

Some minor skin infections may improve without prescription treatment, depending on the cause.

However, others can worsen or spread without appropriate treatment.

A persistent, worsening, painful, or spreading skin lesion should be evaluated rather than assuming it will resolve on its own.

Can Skin Infections Come Back?

Yes.

Some skin infections can recur.

Recurrence may happen when:

  • The original infection was not completely treated
  • The underlying condition remains
  • A person is exposed again
  • Household members are also infected
  • The organism remains in another area of the body
  • Contributing environmental factors continue

If infections repeatedly return, a dermatologist can evaluate potential causes and recommend appropriate management.

Skin Infections and Hygiene

Good hygiene can help reduce the risk of certain infections, but skin infections are not always caused by poor hygiene.

Helpful measures may include:

  • Keeping skin clean and dry
  • Washing hands regularly
  • Avoiding unnecessary touching or scratching of lesions
  • Keeping cuts and wounds clean
  • Avoiding sharing personal items
  • Wearing appropriate footwear in communal areas
  • Following treatment instructions
  • Avoiding close contact with contagious lesions when appropriate

The best prevention strategy depends on the type of infection.

Can Scratching Cause a Skin Infection?

Scratching can damage the skin and create small breaks that allow microorganisms to enter.

Persistent scratching may also worsen inflammation and make existing skin conditions more difficult to control.

If itching is severe or persistent, treating the underlying cause can help reduce scratching and protect the skin barrier.

Skin Infections vs. Other Skin Conditions

Not every red, itchy, swollen, or scaly area is an infection.

Skin infections can sometimes resemble:

  • Eczema
  • Psoriasis
  • Allergic reactions
  • Contact dermatitis
  • Insect bites
  • Cysts
  • Warts
  • Other inflammatory skin conditions

Using an inappropriate treatment based on an incorrect diagnosis may delay improvement.

A dermatologist can examine the affected area and determine whether an infection or another condition is more likely.

When Is a Skin Infection an Emergency?

Some skin infections can become serious and require prompt medical attention.

Seek urgent medical care for symptoms such as:

  • Rapidly spreading swelling or discoloration
  • Severe or rapidly increasing pain
  • High fever
  • Confusion or significant weakness
  • Red streaking extending away from an infected area
  • Extensive blistering
  • Significant swelling of the face or around the eyes
  • Difficulty breathing
  • Severe illness accompanying a skin infection

If symptoms are severe or rapidly worsening, urgent or emergency medical evaluation may be more appropriate than a routine dermatology appointment.

Frequently Asked Questions About Skin Infections

Click on a question to reveal the answer:

Q: What causes skin infections?
A: Skin infections can be caused by bacteria, fungi, viruses, or parasites that invade or multiply on the skin.
Q: What are the most common types of skin infections?
A: Common types include bacterial infections (such as impetigo, cellulitis, and folliculitis), fungal infections (such as ringworm and athlete's foot), and viral infections (such as warts).
Q: Are skin infections contagious?
A: Some skin infections are contagious and can spread through direct contact, shared items, or contaminated surfaces. Others are not contagious.
Q: How can I tell if a rash is infected?
A: Signs of infection may include increasing redness or discoloration, swelling, warmth, tenderness, pain, pus or drainage, or spreading of the rash. A dermatologist can help determine the cause.
Q: Can a dermatologist treat skin infections?
A: Yes. A dermatologist can evaluate skin infections, determine the underlying cause, and recommend appropriate treatment.
Q: Do all skin infections require antibiotics?
A: No. Antibiotics are only effective for bacterial infections. Fungal infections require antifungal medications, and viral infections may require antiviral treatment. Correct diagnosis is important.
Q: Can fungal infections be mistaken for eczema?
A: Yes. Some fungal infections can look similar to eczema or other inflammatory skin conditions. A dermatologist can help determine the cause.
Q: Can skin infections come back after treatment?
A: Yes. Some infections can recur if they are not completely treated, if exposure continues, or if contributing factors remain.
Q: Can scratching cause a skin infection?
A: Yes. Scratching can create small breaks in the skin that allow microorganisms to enter and cause infection.
Q: How are skin infections diagnosed?
A: Diagnosis begins with a dermatologic examination and medical history. Depending on the suspected cause, testing such as swabs, scrapings, or cultures may be recommended.
Q: When should I see a dermatologist for a skin infection?
A: You should see a dermatologist if a rash is spreading, worsening, painful, draining, or not improving with over-the-counter treatment.
Q: When is a skin infection an emergency?
A: Seek urgent care for rapidly spreading discoloration, severe pain, high fever, red streaking, or difficulty breathing.
Q: How long does treatment for a skin infection take?
A: The timeline depends on the type and severity of the infection. Some infections improve within days, while others may require longer treatment.
Q: How much does skin infection treatment cost in Washington, DC?
A: Treatment costs vary depending on the condition and recommended approach. During your consultation, the practice can discuss your treatment options and associated costs.

Why Choose Dr. Holmes for Skin Infection Treatment

Board-Certified Dermatologist

with 34+ years of experience

Comprehensive Evaluation

of bacterial, fungal, viral, and other skin conditions

Accurate Diagnosis

with additional testing when appropriate

Individualized Treatment Plans

based on the suspected cause, severity, location, and symptoms

Experience with All Skin Types

including patients with skin of color

Recognized

2025 Best Dermatologist in Dupont Circle

Meet Dr. Yolanda C. Holmes

Dr. Yolanda C. Holmes is a board-certified dermatologist with more than 34 years of experience serving patients in Washington, DC.

She provides individualized evaluation and treatment for skin infections, inflammatory skin conditions, pigmentary disorders, and other dermatologic concerns. Dr. Holmes considers the appearance, location, symptoms, duration, and potential cause of a skin condition when determining whether treatment or additional evaluation may be appropriate.

With a focus on skin of color, Dr. Holmes considers each patient's natural pigmentation and individual skin characteristics when evaluating infections, inflammation, and other skin conditions.

Learn more about Dr. Holmes →

Concerned About a Possible Skin Infection?

If you have a persistent, spreading, painful, itchy, or otherwise concerning skin lesion, a dermatology evaluation can help determine whether you have an infection or another skin condition. Getting the correct diagnosis is an important first step toward appropriate treatment.

Call: 202-737-6800

Schedule a Skin Infection Evaluation in Washington, DC

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