Candidiasis Mucocutaneous

Warning:

• The fungus Candida is a commensal gut but its presence in the mouth, vagina and on the skin is pathological.

• Contributing factors are: diabetes, obesity, estrogen plus progestin contraception, a systemic antibiotic treatment and immunosuppression (including HIV).

Candidiasis Mucocutaneous

• A chronic pharyngeal and oral candidiasis in a young person has to suspect HIV seropositivity.

• If in doubt, mycological examination can be requested;growing very fast Candidaest (3 days).

Clinic:

Oral candidiasis: thrush.

Vaginal candidiasis: thick white discharge.

Candidiasis folds: intertrigo inguinal, axillary folds and submammary, thoroughly oozing and crumbled borders.

Treatment:

Order No. 1: vulvovaginal candida albicans vaginitis

– Toilet with vaginal HYDRALIN powder for local solution [sodium borate, sodium perborate, monosodium carbonate, anhydrous disodium carbonate] liquid soap, 1 sachet in 1 liter of water.

GYNO Pevaryl LP-150 [éconazole], one egg at night, single dose.

Order No. 2 in case of recurrence

Cure 1 monthly for 2 months:

GYNO-Pevaryl [econazole nitrate] egg (6 days).

Accompanied during the first cure:

FUNGIZONE [amphotericin B] oral suspension, 1 teaspoon 3 times a day for 10 days.

No.3: oral candidiasis

FUNGIZONE [amphotericin B] oral suspension,

– Infant and child, 1 teaspoon per 10 kg body weight per day in 2 to 3 doses

– For adults: 4 teaspoons per day in 2-3 doses for 2 to 3 weeks.

– If dentures: brushing with the oral suspension.

Ordinance No. 4: candidiasis sub-mammary fold

– Dry thoroughly after washing as needed with a hand dryer.

– Apply Pevaryl [econazole nitrate] powder or solution or DAKTARIN [miconazole] powder or Fazol[isoconazole] powder, 2 times a day on the lesions for 2 weeks.

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Editor-in-chief of the Medical Actu website; general practitioner graduated from the Faculty of Medicine of Algiers in 2005 currently practicing as a liberal.

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