Orophryngeal Candida Flashcards
Host factors
Occurs with minor variations in host factors. Antibiotic therapy; glucocorticoid therapy (topical or systemic); age (very young, very old); host de ense de ects
Incidence w what type of humans?
Healthy and HIV
manifesation
asymptomatic. Burning or pain on eating spices/acidic foods, diminished taste sensation
Pseudomembranous Candidiasis.
White cottage cheese-like ecks (colonies of Candida) Removal with a dry gauze pad leaves an erythematous mucosal surface. Distribution: Dorsum of tongue, buccal mucosa, hard/so palate, and pharynx extending down into the esophagus and tracheobronchial tree
Erythematous or Atrophic Candidiasis. Dorsum of the tongue is smooth,red,and atrophic.Areas of thrush may also be present.
■ Candidal Leukoplakia. White plaques
that cannot be wiped off but regress with anticandidal therapy. Distribution: Buccal mucosa, tongue, and hard palate.
■ Angular Cheilitis
Treatment
TOPICAL THERAPY Nystatin or clotrimazole.
SYSTEMIC THERAPY Oral fluconazole and echinocandins (caspofungin, micafungin, or anidulafungin)