Oral Candidiasis Diagnosis & Treatment

By

Amin Ambusallamah

Diagnosis• The diagnosis of candidiasis in clinical practice is usually

established by the clinical signs in conjunction with exfoliative cytoiogic examination, Although a culture can definitively identify the organism as C. albtcans

• biopsy should be performed to rule out the possibility of C. olbicans super imposed on epithelial dysplasia, squamous cell carcinoma, or lichen planus,The definitive identification of the organism can be made by means of culture. A specimen for culture is obtained by rubbing a sterile colton swab over the lesion.

Treatment

Topical Systmic

Nystatin ( 100,000 units )

Pastilles QDS for 7-10 days

Fluconzole ( 50 mg/day) for 7-10 days

Miconazole gel ( 24 mg/ml ) Apply QDS 10 days

itraconzole ( 100 mg/day) for 14 days

Fusidic acid creamFor angular stomatitis

Ketoconazole ( 200 mg/day) for 7-14 days

REFERENCES :

Cawson`s essentials of oral pathology & medicine.Chapter 12 …… page 217.

Oral & Maxillofacial Pathology 2 ed.Neville ,Damm. Allen & Bouquot .chapter 6 …… page 196. 198.

Thank you