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Candidiasis, Mucocutaneous

Karlynn Sievers, MD and Sheila O. Stille, DMD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Heterogeneous mucocutaneous disorder caused by infection with common commensal Candida species

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

  • >20 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
Dekhuijzen PNR, Batsiou M, Bjermer L, et al. Incidence of oral thrush in patients with COPD prescribed inhaled corticosteroids: effect of drug, dose, and device. Respir Med.  2016;120...

ADDITIONAL READING

  • Glenny AM, Gibson F, Auld E, et al. The development of evidence-based guidelines on mouth care for children, teenagers and young adults treated for cancer. Eur J Cancer.  2010;...

CODES

ICD10

  • B37.9 Candidiasis, unspecified

  • B37.0 Candidal stomatitis

  • B37.49 Other urogenital candidiasis

  • B37.3 Candidiasis of vulva and vagina

  • B37.81 Candidal esophagitis

  • B37.89 Other sites of candidiasis

  • B3...

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.

  • If ton...

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