Candiiasis Of Skin And Management

Question 1

CANDIDIASIS
• Fungal infection of the skin or mucous membranes
• Caused by candida albicans
• More common in infants,obese children,adolescents and chronically ill-or immunocompromised children
• Can be seen as a secondary infection with antibiotic, steroid or oral contraceptive use

Answer 1

Info

Question 2

HISTORY AND PHYSICAL
• History
– Recent use of antibiotic or steroids
– Usually occurs in a moist, warm area
• Physical
– Mouth
• Thrush- friable, adherent white plaques on a erythematous base
• Cheilitis- cracked lips
• Angular cheilitis- fissured and inflamed corners of the mouth
– Neck, groin of axillae
• Bright erythema in folds
– Diaper area
• Moist, beefy- red macules and papules with sharply marked borders and satellite lesion
– Vulvovaginal area
• thick, cheesy, yellow discharge, erythema, edema and itching
– Nail plates
• Transverse ridging of the nail plate, loss of the cuticle and chronic paronychia

Answer 2

Info

Question 3

MANAGEMENT
• Thrush
– Oral nystatin suspension- QID
– If breastfeeding- put the oral suspension on mother’s nipples to eliminate reinfection
– Sometimes requires a second course to completely eliminate infection
– If resistant- oral fluconazole for 14 days
• Cheilitis
– Clotrimazole troche 10 mg dissolved slowly five times a day for 14 days
• Skin infection
– Topical antifungal- Nystatin, miconazole, clotrimazole, ketoconazole applies to the skin every diaper change until the rash is gone
plus an additional 1-2 days
– If inflammation is severe- 1 % hydrocortisone can be applied for 1-2 days
– Keep area clean, dry. Frequent diaper changes
– Use mild soap and water, rinse well
– Avoid other powders
• Nail involvement
– Topical antifungal cream twice a day. Will take several months
– Oral fluconazole is severe or resistant

Answer 3

Info

Question 4

CANDIDIASIS is a

Answer 4

• Fungal infection of the skin or mucous membranes

Question 5

CANDIDIASIS is caused by

•

Answer 5

• Caused by candida albicans

Question 6

CANDIDIASIS is more common in

•

Answer 6

• More common in infants,obese children,adolescents and chronically ill-or immunocompromised children

Question 7

When is candidiasis seen as a secondary infection?

Answer 7

• Can be seen as a secondary infection with antibiotic, steroid or oral contraceptive use

Question 8

You should ask the patient about

Answer 8

Recent use of antibiotic or steroids

Question 9

What areas are most prone to candidiasis

Answer 9

Usually occurs in a moist, warm area

Question 10

In the mouth you would see

Answer 10

Thrush- friable, adherent white plaques on a erythematous base
• Cheilitis- cracked lips
• Angular cheilitis- fissured and inflamed corners of the mouth

Question 11

in the Neck, groin or axillae you will find

• Bright erythema in folds

Answer 11

• Bright erythema in folds

Question 12

Diaper area findings are

•

Answer 12

• Moist, beefy- red macules and papules with sharply marked borders and satellite lesion

Question 13

In the vulvovaginal area

Answer 13

Vulvovaginal area

• thick, cheesy, yellow discharge, erythema, edema and itching