Oral candidiasis : symptoms, causes , diagnosis and treatment

Category Mycosis | August 12, 2017 18:01


  • Causes of oral candidiasis
  • symptoms of oral candidiasis
  • treatment of oral candidiasis

Despite the fact that most modern people think that thrush is a disease that can only hit the mucous membranes and skingenital organs, we can not exclude the probability of the development of the pathological process in the form of lesions of the oral mucosa.The causative agents of disease as representatives of conditionally pathogenic organism found in the epithelium of the skin and mucous membranes.

Causes of oral candidiasis

In the normal state of local immunity and the immune system in general, the development of the disease pathogens is restrained, and the signs of candidiasis requires careful attention to the patient's health.In most cases, treatment of patients with oral candidiasis has been a dentist for help accessed by the patient.Also, with the localization of the disease may be facing doctors who treat the disease, against which there is often thrush - pulmonologists, hematologists, T

B specialists, endocrinologists, conductive prescribe closely with dentists.

For general information, read about thrush in men and women.

primary cause of oral candidiasis, as well as other sites of disease, it is a violation of the normal functioning of the immune system, which may occur in the background:

  • infectious diseases for which treatment is used antibiotics and drugs of antimicrobial action;
  • endocrine disorders, leading to a profound disorder of metabolic processes in the body - diabetes, thyroid dysfunction, adrenal dysfunction;
  • pathological processes that lead to violations of immunity - autoimmune diseases, HIV-infection and AIDS, tumors, blood-forming organs;
  • wearing ill-fitting dentures, which leads to chronic micro-traumas of the oral mucosa;
  • chemotherapy appointed for the division of malignant tumors.
In addition, oral candidiasis may develop on the background of pathological processes affecting the organs of the digestive tract, excess intake of some vitamins belonging to Group B, stressful situations.

development of oral candidiasis can be a frequent complication of antimicrobial therapy, radiation therapy, hormone-containing contraceptive purpose funds, bad habits person (smoking, alcohol abuse, substance abuse).

transmitted pathogen Candida is through sexual contact, kissing and sharing utensils and household items.In the neonatal period oral candidiasis becomes the result of infection of the child at the time of passing through the birth mother's ways, suffering from thrush during pregnancy.

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symptoms of oral candidiasis

Thrush of the mouth may have a variety of symptoms - from a small plaque on the oral mucosa to severe thrush in different forms.Severity of symptoms may depend on:

  • immune status of the patient;
  • age;
  • concomitant diseases;
  • medication used to treat the patient.

candidiasis of the oral mucosa may occur in the following clinical forms:

  • pseudomembranous candidiasis - stomatitis, appearing as a diffuse process of the mucous membrane;
  • erythematous candidiasis - redness, localized on the surface of the tongue and palate;
  • hyperplastic (chronic) candidiasis - is characterized by a plaque, which is virtually impossible to remove;
  • angular stomatitis - redness, localized in the corners of the mouth.
Most often candidiasis oral mucosa develops in young children, the elderly and debilitated patients.In children, the disease is much easier to treat than oral thrush, which occurs in adult patients.

If oral candidiasis characteristic lesions, manifesting as redness of the mucous membrane, parts of which are covered with caseous coating, can be located on the inside of the cheeks, on the red border of lips, tongue.plaque can be easily "remove" in the initial stages of the disease with the help of a spatula or a piece of gauze - while dramatically exposed flushed and bleeding sometimes mucosal surface.As the disease progresses spend a hygiene treatment is becoming more difficult - there is pain when you try to remove plaque and food intake, expressed as increased salivation, itching and burning sensation in the mouth.With long-term course of the disease develops mucosal atrophy - its surface becomes dry, similar to a varnished plate of biscuits can be found only in the deepest folds.

For diagnosis of oral candidiasis is necessary to evaluate the patient's complaints, the results of its survey, conducted by a doctor, these additional methods of research (clinical and biochemical analyzes, mycological tests).

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treatment of oral candidiasis

In the treatment of oral candidiasis is important to combine local procedures that are directed to the reorganization of the mucous membranes, and integrated (systemic) treatment that helps restore the normal status of the immune system and affect the causative agent.Simultaneously, the treatment must be carried out of those diseases against which developing thrush.

Inside can be administered drugs that have antifungal activity - tablets Nystatin, levorin, nitamitsina, fluconazole, which receive mode prescribed by the physician.In addition, rinsing must be assigned antiseptic solutions or substances having fungistatic (baking soda, borax, glycerol, boric acid).For the treatment of local centers can be used aqueous solutions of aniline dyes, application with ointments, which is composed of antifungal agents (amphotericin B, Levorinum, metronidazole, dekamin).The therapy must be used multivitamin preparations, sound diet with a limited number of simple carbohydrate.

Timely detection of oral candidiasis helps to timely detect trouble in the patient's immune system and the timely and consistent treatment of the disease helps to prevent the generalization process.