Oropharyngeal candidiasis: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*White curd-like plaques | *White curd-like plaques that are difficult to remove and leave behind an erythematous base | ||
*Usually painless | *Usually painless | ||
Revision as of 18:08, 7 June 2014
Background
- Typically occurs when the normal host immunity or host flora are disrupted, allowing for overgrowth of Candida albicans.
Risk Factors
- Extremes of age
- Antibiotics
- Corticosteroids
- Immunocompromised (AIDS, immunosuppressant medications)
Clinical Features
- White curd-like plaques that are difficult to remove and leave behind an erythematous base
- Usually painless
Differential Diagnosis
Tongue diagnoses
- Tongue laceration
- Strawberry tongue
- Black hairy tongue
- Oropharyngeal candidiasis (oral thrush)
- Hairy Oral Leukoplakia
- Tongue swelling
- Trauma
- Angioedema
- Hereditary
- Allergic (ACE)
- Idiopathic
Workup
Management
- Nystatin oral suspension 500,000 units (swish and swallow) QID OR
- Clotrimazole 10mg troches 5x per day OR
- Fluconazole, 100mg PO