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Candidiasis, Mucocutaneous

Karlynn Sievers, MD and Tonya M Cook, PharmD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Heterogeneous group of mucocutaneous infections with commensal Candida species

  • Characterized by superficial infection of the skin, mucous membranes, and nails

  • >20 Candida species ca...

DIAGNOSIS

HISTORY

  • Infants/children

    • Oral: adherent white patches on oral mucosae or on the tongue that do not wipe away easily

    • Perineal: erythematous rash with characteristic satellite lesions; painful if...

TREATMENT

GENERAL MEASURES

Screen for immunodeficiency (diabetes, HIV, autoimmune disease). 

MEDICATION

First Line

  • Vaginal (choose 1)

    • Miconazole (Monistat) 2% cream: one applicator or 200 mg (one supposito...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Immunocompromised persons benefit from regular evaluation and screening. 

DIET

Active culture yogurt or other live lactobacillus may decrease colo...

REFERENCES

1
Hendrickson JA, Hu C, Aitken SL, et al. Antifungal resistance: a concerning trend for the present and future. Curr Infect Dis Resp. 2019;21(12):47.
2
Millsop J, Fazel N. Oral candidiasis. Cl...

ADDITIONAL READING

Nambiar M, Varma SR, Jaber M, et al. Mycotic infections—mucormycosis and oral candidiasis associated with Covid-19: a significant and challenging association. S...

SEE ALSO

Candidiasis, Invasive; HIV/AIDS 

CODES

ICD10

  • B37.9 Candidiasis, unspecified

  • B37.2 Candidiasis of skin and nail

  • B37.89 Other sites of candidiasis

SNOMED

  • 29147005 Mucocutaneous candidiasis

CLINICAL PEARLS

  • Candidiasis is typically a clinical diagnosis. KOH preparations are a simple confirmatory office test. Culture and biopsy are rarely needed.

  • Person-to-person transmission is rare.

  • Obtain...

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