[Acne] New type of breakout with no change in routine- is this fungal?

Beauty Tips For Body Care
I have been using the same routine for about a year now and I have been very happy with it (thanks SCA!) But seemingly over night I have had this new strange breakout. It almost looks like closed comedones but not quite? The texture of my skin is very rough in the affected areas (mainly on the sides of my chin and smile lines). http://imgur.com/YlY7zHf .Here's my routine: AM: cleanse with Cerave foaming Paula's choice 2% bha liquid Clinique moisture surge Makeup is Revlon colorstay liquid foundation for oily skin (I have been using this for years)PM: Remove makeup with baby oil Cleanse with Cerave PC bha Moisture surgeI occasionally spot treat with Paula's choice bha spot treatment 8%This "breakout" has been going on for about 3 weeks now. I tried about everything including stoping my bha and using aha instead but it hasn't help. Neem oil does seem to be slightly effective so I have been using that on the area for the past week or so but its still not clearing. I think I do everything else I need to do to prevent acne (change pillow case, fully remove makeup and oil used to remove makeup, don't touch my face, on birth control pill, etc.) Does anyone have any ideas on what I can do for this? The reason I'm thinking fungal is just because it seemed to come out of nowhere and it's kind of responding to neem oil. Also it tends to look worse right after I OCM and I read fungus feeds off of oil?
Girls Blog 2015
Submitted by Banana-fana-fo-fess