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Oral candidiasis, is an infection of yeast fungus, Candida albicans, (or, less commonly, Candida glabrata or Candida tropicalis) in the mucous membranes of the mouth. Oral thrush refers to temporary candidiasis in the mouths of babies, whilst if occurring in the mouth or throat of adults it may also be termed candidosis or moniliasis.
Additional recommended knowledge
Oral infections of candidia usually appear as thick white or cream-colour deposits. Underlying the deposits the mucosa of the mouth may appear inflamed (red and possibly slightly raised). In babies the condition is termed thrush and is usually painless and causes no discomfort. Adults may experience discomfort or burning.
Who is at special risk?
Thrush and Breastfeeding
Because of the increased use of antibiotics in laboring women to reduce the transmission of Group B streptococcal infection to the infant, thrush has become more prevalent. Symptoms include:
The rash and pain experienced by the mother can range from severe to mild and may complicate breastfeeding. Because thrush is assumed to be benign, it may be difficult to obtain treatment for an outbreak in the diaper area of an infant or mother's nipples. Over the counter yeast infection cream, that comes in the 7-day package, can be applied to the skin with good results within 24 - 48 hours. It should be washed off nipples before breastfeeding.
Any underlying cause, such as poor glucose control in diabetics, should be addressed. Oral candidiasis can be treated with topical anti-fungal drugs, such as nystatin (mycostatin), miconazole or amphotericin B. Patients who are immunocompromised, either with HIV/AIDS or as a result of chemotherapy, may require systemic treatment with oral or intravenous administered anti-fungals.
For adults, mild cases can be first treated by drinking acidic substances, such as orange juice, to make a harsher environment for the yeast and eating yogurt to replenish bacterial count that controls the yeast. If home treatment is not effective a physician may need to be consulted.
|This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Oral_candidiasis". A list of authors is available in Wikipedia.|