• Postgrad Med J · Aug 2002

    Review

    Oral candidiasis.

    • A Akpan and R Morgan.
    • Arrowe Park Hospital NHS Trust, Upton, Wirral, UK. asang@doctors.org.uk
    • Postgrad Med J. 2002 Aug 1; 78 (922): 455-9.

    AbstractOral candidiasis is a common opportunistic infection of the oral cavity caused by an overgrowth of Candida species, the commonest being Candida albicans. The incidence varies depending on age and certain predisposing factors. There are three broad groupings consisting of acute candidiasis, chronic candidiasis, and angular cheilitis. Risk factors include impaired salivary gland function, drugs, dentures, high carbohydrate diet, and extremes of life, smoking, diabetes mellitus, Cushing's syndrome, malignancies, and immunosuppressive conditions. Management involves taking a history, an examination, and appropriate antifungal treatment with a few requiring samples to be taken for laboratory analysis. In certain high risk groups antifungal prophylaxis reduces the incidence and severity of infections. The prognosis is good in the great majority of cases.

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