What is the recommended treatment for molluscum contagiosum in athletes?

• A. Physical destruction with a sharp curette
• B. Topical antifungal therapy
• C. Oral antibiotics
• D. Observation only

Answer: (A)

Molluscum contagiosum is a viral skin infection, and in athletes the priority is to stop transmission and minimize downtime. Because it's viral, topical antifungal therapy or oral antibiotics won’t work. Observation alone can be reasonable in some people, but for athletes the contagious lesions and ongoing skin-to-skin contact make prolonged shedding a concern. Physically destroying the lesions with a sharp curette removes the infected tissue directly, often more quickly reducing contagion and allowing an earlier return to sport. This approach is typically done in a clinic (sometimes with local anesthesia) and may require multiple sessions. Be aware that there can be pain, minor bleeding, and a small risk of scarring, but it’s a practical option to rapidly clear lesions and limit spread among teammates.