Oropharyngeal candidiasis - Revision history

Rossdonaldson1: /* Clinical Features */

2021-12-02T18:49:35Z

Clinical Features

← Older revision		Revision as of 18:49, 2 December 2021
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	[[File:Oral thrush Aphthae Candida albicans. PHIL 1217 lores.jpg\|thumb\|"Acute pseudomembranous candidiasis" is a classic form of oral candidiasis, commonly referred to as thrush.]]		[[File:Oral thrush Aphthae Candida albicans. PHIL 1217 lores.jpg\|thumb\|"Acute pseudomembranous candidiasis" is a classic form of oral candidiasis, commonly referred to as thrush.]]
	[[File:CandidiasisFromCDCinJPEG03-18-06.jpg\|thumb\|Pseudomembranous candidiasis in a person with [[HIV]].]]		[[File:CandidiasisFromCDCinJPEG03-18-06.jpg\|thumb\|Pseudomembranous candidiasis in a person with [[HIV]].]]
	[[File:PMC3218701 hiv-2-089f1.png\|thumb\|~~Pseudomembranous~~ oropharyngeal candidiasis in a patient with [[HIV]], with a distribution concerning for esophageal candidiasis (later found on scope).]]		[[File:PMC3218701 hiv-2-089f1.png\|thumb\|View of posterior pharynx showing pseudomembranous oropharyngeal candidiasis in a patient with [[HIV]], with a distribution concerning for esophageal candidiasis (later found on scope).]]
	[[File:Thrush2010.jpg\|thumb\|Oral candidiasis in an infant.]]		[[File:Thrush2010.jpg\|thumb\|Oral candidiasis in an infant.]]
	*White curd-like (pseudomembraneus) plaques that are difficult to remove and leave behind an erythematous base on the oral mucosa, tongue, palate, or oropharynx		*White curd-like (pseudomembraneus) plaques that are difficult to remove and leave behind an erythematous base on the oral mucosa, tongue, palate, or oropharynx

Rossdonaldson1: /* Clinical Features */

2021-12-02T18:48:17Z

Clinical Features

← Older revision		Revision as of 18:48, 2 December 2021
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	[[File:Oral thrush Aphthae Candida albicans. PHIL 1217 lores.jpg\|thumb\|"Acute pseudomembranous candidiasis" is a classic form of oral candidiasis, commonly referred to as thrush.]]		[[File:Oral thrush Aphthae Candida albicans. PHIL 1217 lores.jpg\|thumb\|"Acute pseudomembranous candidiasis" is a classic form of oral candidiasis, commonly referred to as thrush.]]
	[[File:CandidiasisFromCDCinJPEG03-18-06.jpg\|thumb\|Pseudomembranous candidiasis in a person with [[HIV]].]]		[[File:CandidiasisFromCDCinJPEG03-18-06.jpg\|thumb\|Pseudomembranous candidiasis in a person with [[HIV]].]]
			[[File:PMC3218701 hiv-2-089f1.png\|thumb\|Pseudomembranous oropharyngeal candidiasis in a patient with [[HIV]], with a distribution concerning for esophageal candidiasis (later found on scope).]]
	[[File:Thrush2010.jpg\|thumb\|Oral candidiasis in an infant.]]		[[File:Thrush2010.jpg\|thumb\|Oral candidiasis in an infant.]]
	*White curd-like (pseudomembraneus) plaques that are difficult to remove and leave behind an erythematous base on the oral mucosa, tongue, palate, or oropharynx		*White curd-like (pseudomembraneus) plaques that are difficult to remove and leave behind an erythematous base on the oral mucosa, tongue, palate, or oropharynx

Rossdonaldson1: /* Clinical Features */

2021-12-02T18:43:30Z

Clinical Features

← Older revision		Revision as of 18:43, 2 December 2021
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	[[File:Human tongue infected with oral candidiasis.jpg\|thumb\|[[Oral thrush]]]]		[[File:Human tongue infected with oral candidiasis.jpg\|thumb\|[[Oral thrush]]]]
	[[File:Oral thrush Aphthae Candida albicans. PHIL 1217 lores.jpg\|thumb\|"Acute pseudomembranous candidiasis" is a classic form of oral candidiasis, commonly referred to as thrush.]]		[[File:Oral thrush Aphthae Candida albicans. PHIL 1217 lores.jpg\|thumb\|"Acute pseudomembranous candidiasis" is a classic form of oral candidiasis, commonly referred to as thrush.]]
			[[File:CandidiasisFromCDCinJPEG03-18-06.jpg\|thumb\|Pseudomembranous candidiasis in a person with [[HIV]].]]
	[[File:Thrush2010.jpg\|thumb\|Oral candidiasis in an infant.]]		[[File:Thrush2010.jpg\|thumb\|Oral candidiasis in an infant.]]
	*White curd-like (pseudomembraneus) plaques that are difficult to remove and leave behind an erythematous base on the oral mucosa, tongue, palate, or oropharynx		*White curd-like (pseudomembraneus) plaques that are difficult to remove and leave behind an erythematous base on the oral mucosa, tongue, palate, or oropharynx

Rossdonaldson1 at 18:40, 2 December 2021

2021-12-02T18:40:34Z

← Older revision		Revision as of 18:40, 2 December 2021
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	==Background==		==Background==
			*Also known as thrush
	*Typically occurs when the normal host immunity or host flora are disrupted, allowing for overgrowth of [[Candida albicans]]		*Typically occurs when the normal host immunity or host flora are disrupted, allowing for overgrowth of [[Candida albicans]]
	*Most commonly seen in infants, immunocompromised, older adults with dentures		*Most commonly seen in infants, immunocompromised, older adults with dentures
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	==Clinical Features==		==Clinical Features==
	[[File:Human tongue infected with oral candidiasis.jpg\|thumb\|[[Oral thrush]]]]		[[File:Human tongue infected with oral candidiasis.jpg\|thumb\|[[Oral thrush]]]]
			[[File:Oral thrush Aphthae Candida albicans. PHIL 1217 lores.jpg\|thumb\|"Acute pseudomembranous candidiasis" is a classic form of oral candidiasis, commonly referred to as thrush.]]
	[[File:Thrush2010.jpg\|thumb\|Oral candidiasis in an infant.]]		[[File:Thrush2010.jpg\|thumb\|Oral candidiasis in an infant.]]
	*White curd-like (pseudomembraneus) plaques that are difficult to remove and leave behind an erythematous base on the oral mucosa, tongue, palate, or oropharynx		*White curd-like (pseudomembraneus) plaques that are difficult to remove and leave behind an erythematous base on the oral mucosa, tongue, palate, or oropharynx
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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Tongue DDX}}		{{Tongue DDX}}

	{{DDX oral rashes and lesions}}		{{DDX oral rashes and lesions}}

Rossdonaldson1: /* Clinical Features */

2021-12-02T18:36:26Z

Clinical Features

← Older revision		Revision as of 18:36, 2 December 2021
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	==Clinical Features==		==Clinical Features==
	[[File:Human tongue infected with oral candidiasis.jpg\|thumb\|[[Oral thrush]]]]		[[File:Human tongue infected with oral candidiasis.jpg\|thumb\|[[Oral thrush]]]]
			[[File:Thrush2010.jpg\|thumb\|Oral candidiasis in an infant.]]
	*White curd-like (pseudomembraneus) plaques that are difficult to remove and leave behind an erythematous base on the oral mucosa, tongue, palate, or oropharynx		*White curd-like (pseudomembraneus) plaques that are difficult to remove and leave behind an erythematous base on the oral mucosa, tongue, palate, or oropharynx
	*Usually painless		*Usually painless

Blsimpso: /* Risk Factors */

2021-12-02T03:07:21Z

Risk Factors

← Older revision		Revision as of 03:07, 2 December 2021
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	*[[Corticosteroids]]		*[[Corticosteroids]]
	*Immunocompromised ([[AIDS]], immunosuppressant medications)		*Immunocompromised ([[AIDS]], immunosuppressant medications)
			*[[Diabetes]]
			*Malignancy

	==Clinical Features==		==Clinical Features==

ClaireLewis at 19:47, 22 August 2019

2019-08-22T19:47:44Z

← Older revision		Revision as of 19:47, 22 August 2019
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	*Extremes of age		*Extremes of age
	*[[Antibiotics]]		*[[Antibiotics]]
	*Corticosteroids		*[[Corticosteroids]]
	*Immunocompromised (AIDS, immunosuppressant medications)		*Immunocompromised ([[AIDS]], immunosuppressant medications)

	==Clinical Features==		==Clinical Features==
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	*Topical agents		*Topical agents
	**Patients with their first presentation of mild thrush		**Patients with their first presentation of mild thrush
	*Azole therapy		*Azole therapy
	**Patients with moderate to severe oropharyngeal candidiasis or for those		**Patients with moderate to severe oropharyngeal candidiasis or for those
	**Patients with recurrent disease		**Patients with recurrent disease
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	===Antifungals===		===Antifungals===
	*Voriconazole 200mg BID up to 28 days until symptom resolution		*[[Voriconazole]] 200mg BID up to 28 days until symptom resolution
	**only for Candida species resistant to fluconazole		**only for Candida species resistant to fluconazole
	{{Thrush Antifungals}}		{{Thrush Antifungals}}

Neil.m.young: Text replacement - "* " to "*"

2016-10-27T17:43:29Z

Text replacement - "* " to "*"

← Older revision		Revision as of 17:43, 27 October 2016
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	==Background==		==Background==
	*Typically occurs when the normal host immunity or host flora are disrupted, allowing for overgrowth of [[Candida albicans]]		*Typically occurs when the normal host immunity or host flora are disrupted, allowing for overgrowth of [[Candida albicans]]
	* Most commonly seen in infants, immunocompromised, older adults with dentures		*Most commonly seen in infants, immunocompromised, older adults with dentures

	===Risk Factors===		===Risk Factors===

Bklee at 22:42, 9 September 2016

2016-09-09T22:42:02Z

← Older revision		Revision as of 22:42, 9 September 2016
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	===Antifungals===		===Antifungals===
			*Voriconazole 200mg BID up to 28 days until symptom resolution
			**only for Candida species resistant to fluconazole
	{{Thrush Antifungals}}		{{Thrush Antifungals}}


	==Disposition==		==Disposition==

Rossdonaldson1: Text replacement - " HIV " to " HIV "

2016-09-08T15:02:27Z

Text replacement - " HIV " to " HIV "

← Older revision		Revision as of 15:02, 8 September 2016
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	*Most cases are diagnosed clinically and need only one of the treatments listed below<ref name=management>Pappas PG, Kauffman CA, Andes DR, et al. Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America. Clin Infect Dis 2016; 62:e1.</ref>		*Most cases are diagnosed clinically and need only one of the treatments listed below<ref name=management>Pappas PG, Kauffman CA, Andes DR, et al. Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America. Clin Infect Dis 2016; 62:e1.</ref>
	**May consider KOH prep of skin scrapings (using a tongue depressor), if available		**May consider KOH prep of skin scrapings (using a tongue depressor), if available
	*Consider HIV testing if no other etiology is determined or if risk factors are present		*Consider [[HIV]] testing if no other etiology is determined or if risk factors are present

	==Management==		==Management==

← Older revision		Revision as of 18:49, 2 December 2021
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	[[File:Oral thrush Aphthae Candida albicans. PHIL 1217 lores.jpg\|thumb\|"Acute pseudomembranous candidiasis" is a classic form of oral candidiasis, commonly referred to as thrush.]]		[[File:Oral thrush Aphthae Candida albicans. PHIL 1217 lores.jpg\|thumb\|"Acute pseudomembranous candidiasis" is a classic form of oral candidiasis, commonly referred to as thrush.]]
	[[File:CandidiasisFromCDCinJPEG03-18-06.jpg\|thumb\|Pseudomembranous candidiasis in a person with [[HIV]].]]		[[File:CandidiasisFromCDCinJPEG03-18-06.jpg\|thumb\|Pseudomembranous candidiasis in a person with [[HIV]].]]
	[[File:PMC3218701 hiv-2-089f1.png\|thumb\|~~Pseudomembranous~~ oropharyngeal candidiasis in a patient with [[HIV]], with a distribution concerning for esophageal candidiasis (later found on scope).]]		[[File:PMC3218701 hiv-2-089f1.png\|thumb\|View of posterior pharynx showing pseudomembranous oropharyngeal candidiasis in a patient with [[HIV]], with a distribution concerning for esophageal candidiasis (later found on scope).]]
	[[File:Thrush2010.jpg\|thumb\|Oral candidiasis in an infant.]]		[[File:Thrush2010.jpg\|thumb\|Oral candidiasis in an infant.]]
	*White curd-like (pseudomembraneus) plaques that are difficult to remove and leave behind an erythematous base on the oral mucosa, tongue, palate, or oropharynx		*White curd-like (pseudomembraneus) plaques that are difficult to remove and leave behind an erythematous base on the oral mucosa, tongue, palate, or oropharynx

← Older revision		Revision as of 18:48, 2 December 2021
Line 16:		Line 16:
	[[File:Oral thrush Aphthae Candida albicans. PHIL 1217 lores.jpg\|thumb\|"Acute pseudomembranous candidiasis" is a classic form of oral candidiasis, commonly referred to as thrush.]]		[[File:Oral thrush Aphthae Candida albicans. PHIL 1217 lores.jpg\|thumb\|"Acute pseudomembranous candidiasis" is a classic form of oral candidiasis, commonly referred to as thrush.]]
	[[File:CandidiasisFromCDCinJPEG03-18-06.jpg\|thumb\|Pseudomembranous candidiasis in a person with [[HIV]].]]		[[File:CandidiasisFromCDCinJPEG03-18-06.jpg\|thumb\|Pseudomembranous candidiasis in a person with [[HIV]].]]
			[[File:PMC3218701 hiv-2-089f1.png\|thumb\|Pseudomembranous oropharyngeal candidiasis in a patient with [[HIV]], with a distribution concerning for esophageal candidiasis (later found on scope).]]
	[[File:Thrush2010.jpg\|thumb\|Oral candidiasis in an infant.]]		[[File:Thrush2010.jpg\|thumb\|Oral candidiasis in an infant.]]
	*White curd-like (pseudomembraneus) plaques that are difficult to remove and leave behind an erythematous base on the oral mucosa, tongue, palate, or oropharynx		*White curd-like (pseudomembraneus) plaques that are difficult to remove and leave behind an erythematous base on the oral mucosa, tongue, palate, or oropharynx

← Older revision		Revision as of 18:43, 2 December 2021
Line 15:		Line 15:
	[[File:Human tongue infected with oral candidiasis.jpg\|thumb\|[[Oral thrush]]]]		[[File:Human tongue infected with oral candidiasis.jpg\|thumb\|[[Oral thrush]]]]
	[[File:Oral thrush Aphthae Candida albicans. PHIL 1217 lores.jpg\|thumb\|"Acute pseudomembranous candidiasis" is a classic form of oral candidiasis, commonly referred to as thrush.]]		[[File:Oral thrush Aphthae Candida albicans. PHIL 1217 lores.jpg\|thumb\|"Acute pseudomembranous candidiasis" is a classic form of oral candidiasis, commonly referred to as thrush.]]
			[[File:CandidiasisFromCDCinJPEG03-18-06.jpg\|thumb\|Pseudomembranous candidiasis in a person with [[HIV]].]]
	[[File:Thrush2010.jpg\|thumb\|Oral candidiasis in an infant.]]		[[File:Thrush2010.jpg\|thumb\|Oral candidiasis in an infant.]]
	*White curd-like (pseudomembraneus) plaques that are difficult to remove and leave behind an erythematous base on the oral mucosa, tongue, palate, or oropharynx		*White curd-like (pseudomembraneus) plaques that are difficult to remove and leave behind an erythematous base on the oral mucosa, tongue, palate, or oropharynx