Wednesday, 25 September 2013

ORAL CANDIDIASIS


The oral cavity (mouth) forms normal habitat to a number of organisms; bacteria and fungi. They are considered normal oral commensals that cause no harm in the mouth as they are kept in check by the body immune system. In case of a suppressed immunity, these organisms may begin to cause harm as seen in candidiasis.

Candidiasis/Oral thrush is a fungal infection of the mouth and it’s environ, throat inclusive. It is caused by overgrowth of the fungi commonly candida albicans in the mouth in immunocompromised states as seen in:

1.      Diabetes Mellitus: In this condition, sugar in saliva acts as food for fungal growth.

2.       Prolonged/high dose antibiotic treatment: This condition kills the normal oral bacteria that keeps fungal growth in the oral cavity in check

3.      HIV infection

4.      Renal failure

5.      Use of immune suppressant drugs

6.      Long term steroid treatment

7.      Other forms of immune suppression states

8.      Neonates and elderly

9.      Ill-fitting dentures

10.  Xerostomia i.e. dry mouth

Candidiasis affects all age groups depending on the immune status.

The very young neonates acquire oral thrush during passage through the birth canal in mothers with vaginal candidiasis due to immaturity of the immune response. This clears within 2 weeks however if it persists, baby needs a pediatrician assessment.

Oral presentation of candidiasis

Whitish coat on any part of the mouth, tongue and throat inclusive.

 It may also present as soft, friable, and creamy coloured plaques on the oral mucosa.
This creamish /whitish plague can be easily wiped off, to expose an erythematous /reddish mucosa.
 

whitish plagues on surfaces of the mouth

coated tongue with whitish plagues

If you notice any stange and persistent coating of your mouth,consult a dentist for evaluation and treatment.

2 comments:

  1. It's important to your oral cavity to generate saliva not merely since it keeps your mouth damp, but also since it wipes your mouth along with really helps to digest ingredients. Your occurrence of saliva inside your oral cavity controls along with eliminates candica along with microbial increase inside oral cavity. Dryness along with discomfort is actually caused if the oral cavity is actually stops this creation of saliva this also ailment is called dried out oral cavity. It's scientifically known as xerostomia.

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