IDS Fungal Candidiasis Flashcards
characteristic of oral candidiasis
painless
creamy white plaque-like lesions of the buccal or oropharyngeal mucosa or tongue surface
easily scraped
angular cheilosis
Characteristics of esophageal candidiasis
retrosternal burning pain or discomfort
odynophagia
endoscopic examination reveals creamy white plaque-like lesions of the esophagus
Characerstics of candida vulvovaginitis
white adherent vaginal discharge
thin whitish curds
pain burning and itching
T/F occurrence of oropharyngeal and esophgeal candidiasis is an indicator of immune suppression
T
CD4 level susceptible to candidiasis
CD4 <200cells/uL
T/F reccurrent vulvovaginal candidiasis should be considered a sentinel of HIV infection
F; alone, it should not be considered sentinel of HIV infection
Sequelae of hematogenous dissemination of candida
microabscess and small macroabscess in major organs
Which Candida species is not susceptible to azoles and AmB
C. krusei
C. glabrata is least susceptible to which class of antifungal?
azoles
Which Candida species is susceptible to all antifungals?
C. guiliermondii
C. albicans treatment: which is most effective among the ff
a. fluconazile
b. itraconazole
c. voriconazole
d. AmB
A
C. albicans tx. which is most effective among the ff
a. Caspofungin
b. itraconazole
c. AmB
d. voriconazole
A; for C. albicans, more effective tx:
fluconazole
echinocandins
AmB
Treatment for oropharyngeal candida
fluconazole PO OD 7-14 days
check ppt for alternatives
Treatment for esophageal candidiasis
fluconazole 100mg IV/PO OD for 14-21 days
check ppt for alternative
Uncomplicated vulvovaginal candidiasis tx
fluconazole PO 150 mg 1 dose
topical azoles for 3-5 days
