Orophryngeal Candida Flashcards

1
Q

Host factors

A

Occurs with minor variations in host factors. Antibiotic therapy; glucocorticoid therapy (topical or systemic); age (very young, very old); host de ense de ects

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2
Q

Incidence w what type of humans?

A

Healthy and HIV

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3
Q

manifesation

A

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

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4
Q

Treatment

A

TOPICAL THERAPY Nystatin or clotrimazole.

SYSTEMIC THERAPY Oral fluconazole and echinocandins (caspofungin, micafungin, or anidulafungin)

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