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Published on: May 17, 2022
Mycology in oral pathology
1Department of Bacteriology & Mycology, Janssen Research Foundation, B-2340 Beerse, Belgium.
Abstract:
Candida species are responsible for all but exceptional examples of oral fungal infection. Oral Candida lesions are seen only in patients who are predisposed to such disease by physiological or immunological abnormalities, particularly by extremes of age and HIV infections. The infections can be acute or chronic, pseudomembranous ("thrush") or atrophic (erythemateous). In the AIDS patient, mixtures of clinical types may be seen. Diagnosis of oral Candida infection requires microscopic or culture proof of the involvement of a Candida species. Treatment depends on the type of patient and the type of infection. Topical antifungal agents, usually of the imidazole, triazole or polyene type, are commonly used, although non-specific antiseptics are recommended for denture cleansing in cases of denture-associated stomatitis.
Insights
Oral Candida infections, often linked to immune issues like HIV, present as thrush or red sores. Diagnosis requires lab tests, and treatment varies by infection type and patient health.
Area of Science:
- Mycology
- Infectious Diseases
- Immunology
Background:
- Candida species are the primary cause of oral fungal infections.
- Oral Candida infections primarily affect individuals with physiological or immunological abnormalities, including extremes of age and HIV infection.
- Infections manifest as acute or chronic forms, including pseudomembranous (thrush) and atrophic (erythematous) lesions, with mixed types possible in AIDS patients.
Purpose of the Study:
- To outline the epidemiology, clinical presentation, diagnosis, and treatment of oral Candida infections.
- To highlight the association between oral Candida and underlying predisposing conditions.
Main Methods:
- Review of clinical presentations and diagnostic criteria for oral Candida infections.
- Discussion of treatment modalities based on infection type and patient status.
Main Results:
- Oral Candida infections are strongly associated with compromised immune systems and physiological abnormalities.
- Diagnosis relies on microscopic or culture confirmation of Candida species.
- Treatment strategies involve topical antifungal agents (imidazole, triazole, polyene) and non-specific antiseptics for denture stomatitis.
Conclusions:
- Accurate diagnosis of oral Candida infections is crucial for effective management.
- Treatment selection is individualized based on the specific clinical presentation and patient's underlying health status.
- Antifungal therapies and appropriate hygiene measures are key to managing oral candidiasis.
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