I've been trying to pass this on for awhile now. Not easy for some reason. After 25 years of suffering, half a dozen doctors and eating pails of antibiotics and steroids, about 2 years ago I recognized on my own my HS was a fungal infection. A single over the counter 150 mg Fluconazole caplet (Canesten) knocked down my HS in a week like nothing ever had. I've been treating the flareups with Fluconazole ever since with incredible success. I'm not totally cured yet but very close. My doctor made some error applying Fluconazole in the same way as antibiotics for a bacterial infection. Aggressive daily doses for a week at time. It's more subtle than that. It's a longer slower fight with fungi and antifungals. The best treatment regime seems to be one 150 mg Fluconazole once a week for several months. But you should see a big improvement in a week or two. Also quit caffeine entirely. Zero intake Caffeine seems to a growth hormone for the fungi. Squeeze as much of the discharge out of the sores as you can daily washing the area with soap and water. Apply a dressing of hydrocortisone cream, clotrimazole antifungal cream and polysporin to the area. The fungus lives both on the surface of the skin and below. It needs to be killed off in both places. Yeast and fungi love sugars. Makes sense diabetics would be more prone to these sores right? Also if it is a microbial infection makes sense it could be passed on in families living in close quarters with each other. Good luck with this! Thank God I finally found an accurate diagnosis and treatment for myself. I can not tell you the relief........
And yeah! I lived everything everyone here has. Gave up my career as engineer because I couldn't work anymore.