Treatment Guidelines

Treatment / Prophylaxis

01

Tinea Corporis Gladiatorum, a.k.a. Ringworm

Tinea Corporis Gladiatorum, a.k.a. Ringworm
Single skin lesion
Topical agents (creams):

Treatment
Apply agent twice a day until gone, then 1 more week.
  • Terbinafine 1%
  • Butenafine 1%
  • Ketoconazole 2%
Multiple skin lesions or scalp involvement
02

Herpes Gladiatorum

Herpes Gladiatorum
Primary outbreak
Treatment
May require 10-14 days of treatment:
  • Valacyclovira 1GM twice daily
  • Acyclovir 200mg 5 times a day
Recurrent Herpes Gladiatorum
03

Impetigo/Folliculitis

Impetigo/Folliculitis
Treatment
Treat for 7 days:
  • Clindamycin 300mg 4 times a day
  • Cephalexin 500mg 4 times a day
Treat for 5 days:
  • Azithromycin 250mg
04

CA-MRSA

CA-MRSA
Treatment
For 7-10 days:
  • Trimethoprim-Sulfamethoxazole 800mg/160mg twice a day
  • Minocycline 100mg twice a day
  • Clindamycin 300mg 4 times a day (check local resistance pattern)
  • Linezolide 400mg twice a day
For 6 days:
  • Tedizolide 200mg daily

Prevention

01

Tinea Corporis Gladiatorum, a.k.a. Ringworm

Tinea Corporis Gladiatorum, a.k.a. Ringworm
Prevention
  • Terbinafine 250mg once a week*
  • Fluconazole 100mg once weekly
  • Itraconazole 200mg twice a day  for 1 day every other week

*Anecdotal preventative without clinical studies to verify efficacy
02

Herpes Gladiatorum

Herpes Gladiatorum
Prevention of acquiring HG
  • Valacyclovira 1 GM a day-to be started 5 days before tournament or camp starts
aFor adolescents 12 years of age or older


Note: 10-year study shows that Valacyclovir 1 gm daily may prevent contraction of the virus. May be considered for all wrestlers leading into end of season tournament competition or attending a camp. Anderson BJ, et al.Prophylactic Valacyclovir to Prevent Outbreaks of Primary Herpes Gladiatorum at a 28-day Camp: A 10-Year Review. Clin J Sports Med. 2016.26:4;272-8 (Click for reprint of article).

Medical Disclaimer

The material presented here does not necessarily reflect the views of the University of Minnesota, Boynton Health Service, MN/USA Wrestling, USA Wrestling or Augsburg College. These materials may discuss therapeutic products that have not been approved by the US Food and Drug Administration and off-label uses of approved products. Decisions about following these recommendations of drug treatment or for aiding in the diagnosis of a skin condition should be at the discretion of a qualified health care professional. Readers should verify all information presented here before using it in making decisions on evaluating these skin conditions. Skin infections are a common problem that plague the sport of wrestling. The Mat Doc, LLC and Dr. Anderson assume no responsibility due to wrongly identifying a skin condition and the consequences of these conditions even if properly identified. Information on this program should not be used to replace the relationship that exists between a patient and his/her physician.