Fungal Infections of Oral Cavity: Diagnosis, Management, and Association with COVID-19

Arvind Babu Rajendra Santosh1, Keerthi Muddana2, Shobha Rani Bakki3

  • 1School of Dentistry, Faculty of Medical Sciences, The University of the West Indies, Mona, Kingston Jamaica.

Insights

Fungal infections are rising, especially oral candidiasis in immunocompromised individuals. Early diagnosis and targeted treatment are crucial for managing these opportunistic infections.

Area of Science:

  • Mycology
  • Immunology
  • Oral Medicine

Background:

  • Increasing incidence of fungal infections linked to immunodeficiency viruses and immunosuppressive therapies.
  • Oral candidiasis is the most prevalent oral fungal infection, often opportunistic in immunocompromised hosts.
  • Distinguishing between commensal Candida and clinical candidiasis requires careful assessment of symptoms.

Purpose of the Study:

  • To review diagnostic methods for oral fungal infections.
  • To discuss therapeutic management strategies for various oral mycoses.
  • To provide an overview of opportunistic fungal infections affecting the oral cavity.

Main Methods:

  • Literature review of diagnostic techniques including cytology and tissue biopsy.
  • Analysis of clinical presentation, signs, and symptoms of oral fungal infections.
  • Examination of culture reports for accurate diagnosis and treatment planning.

Main Results:

  • Cytology and tissue biopsy are key for confirming clinical diagnoses of oral fungal infections.
  • Management requires a strategic approach integrating clinical signs, symptoms, and microbiological data.
  • The article covers diagnosis and treatment for aspergillosis, cryptococcosis, histoplasmosis, blastomycosis, mucormycosis, and geotrichosis.

Conclusions:

  • Prompt and accurate diagnosis is essential for effective management of oral fungal infections.
  • A multi-faceted approach combining clinical evaluation and laboratory findings guides therapeutic decisions.
  • Understanding the opportunistic nature of these infections is critical in at-risk populations.

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