Oropharyngeal candidiasis: Difference between revisions
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==Management== | ==Management== | ||
*Nystatin oral suspension 400,000-600,000 units (swish and swallow) Q6H OR | *Nystatin oral suspension 400,000-600,000 units (swish and swallow) Q6H until 48 hours after symptoms disappear OR | ||
*Clotrimazole 10 mg troches 5 times/day for 14 consecutive days OR | *Clotrimazole 10 mg troches 5 times/day for 14 consecutive days OR | ||
*Fluconazole 200 mg (Peds: 6 mg/kg) PO on day one, followed by 100 mg (Peds: 3 mg/kg_ daily for two weeks. | *Fluconazole 200 mg (Peds: 6 mg/kg) PO on day one, followed by 100 mg (Peds: 3 mg/kg_ daily for two weeks. | ||
Revision as of 18:17, 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 400,000-600,000 units (swish and swallow) Q6H until 48 hours after symptoms disappear OR
- Clotrimazole 10 mg troches 5 times/day for 14 consecutive days OR
- Fluconazole 200 mg (Peds: 6 mg/kg) PO on day one, followed by 100 mg (Peds: 3 mg/kg_ daily for two weeks.