CANDIDIASIS Flashcards
1
Q
CONCEPT
A
- COMMON OPPORTUNISTIC ORAL MYCOTIC INFECTION
- MOST COMMON ORAL FUNGAL INFECTION HUMANS (MANY CLINICAL MANIFESTATIONS)
2
Q
CAUSE
A
CANDIDA ALBICANS
3
Q
PREDISPOSING FACTORS
A
- LOCAL: POOR ORAL HYGIENE, DENTURES, ANTIBIOTIC MOUTHWASHES
- SYSTEMIC: BROAD-SPECTRUM ANTIBIOTICS, STEROIDS, IMMUNOSUPPRESSIVE DRUGS, RADIATION, HIV, DIABETES, HEMATOLOGICAL MALGNANCIES
4
Q
PSEUDOMEMBRANOUS CANDIDIASIS (THRUSH)
A
- MOST COMMON FORM (BUCCAL MUCOSA, PALATE, DORSAL TONGUE)
- ADHERENT DIFFUSE WHITE MUCOSAL PLAQUES ON THE CHEEKS, PALATE, TONGUE
- WIPED: LEAVING RED RAW ULCERATED/BLEEDING SURFACE
- ASSOCIATED SYMPTOMS: MINIMAL
- PATIENTS SYMPTOMS: TENDERNESS, BURNING, UNPLEASANT TASTE IN MOUTH, DYSPHAGIA
- PERSISTENCE ACUTE PSEUDOMEMBRANOUS CANDIDIASIS: RESULT LOSS OF PSEUDOMEMBRANE (GENERALIZED RED LESION - ACUTE ATOPHIC (ERYTHEMATOUS) CANDIDIASIS
5
Q
CHRONIC HYPERPLASTIC CANDIDIASIS
A
- WHITE PATCH THAT CANNOT BE RUBBED OFF
- CAUSE: CANDIDAL INFECTION ALONE OR SUPERIMPOSITION OF CANDIDA OVER A PRE-EXISTING LEUKOPLAKIA
6
Q
DIAGNOSIS
A
- BIOPSY: CHRONIC HYPERPLASIC CANDIDIASIS (NO RESPOND ANTIFUNGAL THERAPY)
- CLINICAL SIGNS/EXFOLIATIVE CYTOLOGY (CANDIDAL HYPHAE)
7
Q
ORALLY
A
ANTERIOR BUCCAL MUCOSA
8
Q
OTHER FORMS CHANDIDIASIS
A
MUCOCUTANEOUS/ENDOCRINE-CANDIDIASIS
9
Q
TREATMENT
A
- TOPICAL ANTIFUNGALS (NYSTATIN/AZOLES): LOCALIZED ORAL INFECTIONS
- SYSTEMIC AZOLES: MUCOCUTANEOUS INFECTIONS
