Oral candidiasis: Difference between revisions

Jump to navigation Jump to search
Line 22: Line 22:
'''''Synonyms and related key words:''''' OPC; thrush; oral thrush; [[candidiasis]] of the mouth and throat; candidosis; oral moniliasis.
'''''Synonyms and related key words:''''' OPC; thrush; oral thrush; [[candidiasis]] of the mouth and throat; candidosis; oral moniliasis.


==Natrual History, Comoplications, Prognosis==
There are no sequela with appropriate antifungal therapy. In contrast, among immunocompromised patients with disseminated infections, the mortality rate is almost 50%.





Revision as of 20:26, 26 November 2012

For patient information click here

Oral candidiasis
Oral thrush
ICD-10 B37.0
ICD-9 112.0
DiseasesDB 29743
MedlinePlus 000966

Oral candidiasis Microchapters

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Oral candidiasis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Oral candidiasis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Oral candidiasis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Oral candidiasis

CDC on Oral candidiasis

Oral candidiasis in the news

Blogs on Oral candidiasis

Directions to Hospitals Treating Oral candidiasis

Risk calculators and risk factors for Oral candidiasis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and related key words: OPC; thrush; oral thrush; candidiasis of the mouth and throat; candidosis; oral moniliasis.


Thrush and Breastfeeding

Because of the increased use of antibiotics in laboring women to reduce the transmission of Group B streptococcal infection to the infant, thrush has become more prevalent. Symptoms include:

  • An oral rash in the infant's mouth
  • A diaper rash that does not heal with conventional diaper rash treatments and ointments,
  • Burning, painful nipples for the breastfeeding mother.

The rash and pain experienced by the mother can range from severe to mild and may complicate breastfeeding. Because thrush is assumed to be benign, it may be difficult to obtain treatment for an outbreak in the diaper area of an infant or mother's nipples. Over the counter yeast infection cream, that comes in the 7-day package, can be applied to the skin with good results within 24 - 48 hours. It should be washed off nipples before breastfeeding.

Diagnosis

Symptoms

Adults may experience discomfort or burning in the mouth. Symptoms of candidiasis in the esophagus may include pain and dysphagia (difficult swallowing).

In babies the condition is termed thrush and is usually painless and causes no discomfort.

Physical Examination

Oral infections of candidia usually appear as thick white or cream-colour deposits. Underlying the deposits the mucosa of the mouth may appear inflamed (red and possibly slightly raised). Oral lesions are painless, white patches in the mouth.

Laboratory Studies

Agar plate culture of Candida albicans

Treatment

Any underlying cause, such as poor glucose control in diabetics, should be addressed. Oral candidiasis can be treated with topical anti-fungal drugs, such as nystatin (mycostatin), miconazole or amphotericin B. Patients who are immunocompromised, either with HIV/AIDS or as a result of chemotherapy, may require systemic treatment with oral or intravenous administered anti-fungals.

For adults, mild cases can be first treated by drinking acidic substances, such as orange juice, to make a harsher environment for the yeast and eating yogurt to replenish bacterial count that controls the yeast. If home treatment is not effective a physician may need to be consulted.

Prevention

Nosocomial disease surveillance is conducted by NNIS in selected hospitals. Active population-based surveillance for candidemia is being conducted in selected U.S. sites.

References

See Also

Template:Mycoses


da:Trøske (infektion) it:Mughetto (malattia)


Template:WikiDoc Sources