Oral Candidiasis Flashcards
What species is associated with Oral Candidiasis?
Candida Albicans
What is the term used to describe the presence of Candida in the mucous membranes of the mouth and tongue?
Thrush
What are the risk factors associated with Oral Candidiasis?
(DAPIII)
- Diabetics
- ABX use
- Poorly fitted dentures
- Infants (nursing)
- Immunocompromised (AIDS/Cancer)
- Inhaled corticosteroid use
Defining characterisistcs of Oral Candidiasis during physical exam?
(The one that will be on the exam!)
FRIABLE-BLEEDS EASILY!!!*
CAN BE SCRAPED OFF EASILY*
White/gray plaques on gingiva, tongue & oral mucosa
can be accompanied by fever/GI
Dx:eval: lab of Oral Candidiasis?
-tongue scrapings–> sent for fungal infection
Note: most times positive no matter what, bc of normally occurring fungi on the tongue
TX Oral Candidiasis?
- not always indicated for infants; usually resolves within 2 weeks.
- sterilize nipples/bottles=precaution
- Diabetics- good control of blood sugar
Mild case TX for Oral Candidiasis?
- yogurt/OTC acidophilus capsules-moderate cases
- brush tongue w soft toothbrush
- rinse mouth w diluted H202 qid
- Nystatin-qid *** very effective
- Clotrimazole tablet/losenges (5xs day)
***Compliance is hard
Tx for Moderate to severe Oral Candidiasis?
Fluconazole (7-14 days)
Tx for Severe cases of Oral Candidiasis and Fluconazole resistance?
-common in immunocompromised patients
- Ivaconazole 200 mg q.d
- Posaconazole (400 mgBID)
- voriconazole 200 mg bid
Tx for patients unable to take oral meds w Oral Candidiasis?
IV Amphoterecin
Oral Leukoplakia Vs Oral Candidiasis?
Oral Leukoplakia- White plaques DO NOT rub off easily
Oral Candidiasis- White plaques DO rub off easily
What are the risk factors for Oral Leukoplakia?
- Tobacco
- ETOH
- Chronic irritation
Clinical Features of Oral Leukoplakia?
- asymptomatic
- bright white sharply defined patch
- slightly elevated from the mucosa
