Oral Med Revision - Fungal Infection

Question 1

causes of fungal infection

Answer 1

1. immunocompromised - diabetes, anaemia, malignant disease, HIV, AIDS, medication, local factors
2. extremes of age
3. haematinic deficiency
4. xerostomia
5. loss of vertical dimension

Question 2

fungal infection mx

Answer 2

treat local factors:
- denture hygiene
- smoking cessation
- restore vertical dimension
- use spacing device with inhaler
- rinse mouth following use of inhaler
antifungal prescription
- miconazole
- sodium fusidate ointment
- fluconazole
- nystatin
if suspicious appearance or fails to respond to tx refer to OM where oral rinse, HbA1c, blood glucose, FBC, haematinics etc will be explored