Oropharyngeal candidiasis

Background

• Candidal infection

Risk Factors

• Extremes of age
• Antibiotics
• Immunocompromised (AIDS, immunosuppressants)

Clinical Features

• White curd-like plaques, easily removable with 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

Management

• Nystatin oral suspension 500,000 units (swish and swallow) QID OR
• Clotrimazole 10mg troches 5x per day OR
• Fluconazole, 100mg PO

See Also

• Tongue Diagnoses