<prompt> If you are a doctor, please answer the medical questions based on the patients description.my five yr old daughter has a rash in her pubic area. It started with a pimple and has spread over the whole outer area. Took to pediatrician and he recommended neosporin and AD ointment. It hasnt helped, only worsened and shees complaining that it is VERY itchy. Today we 1 hydrocortisone, I dont know what else to do.  <response>: Hi, Welcome to Chat Doctor, Its too difficult to suggest without having a lot at the rash. The possibilities are a severe diaper rash if she is using one which is not commonly done in this age and other more likely possibility Is a fungal infection. I would suggest you use plain clotrimazole cream TDs and you can see the response in 2 days time. Steroid is not recommended now. However, the best would be to consult a dermatologist and then consider trying this therapy because Im just assuming the possibilities not confirming it which can be done by only seeing the lesion. Take care. 