Cutaneous candidiasis
Introduction
It is a fungal infection mainly caused by yeast, Candida albicans. Candidiasis is usually precipitated by prolonged use of contraceptive pills, AIDS, pregnancy, diabetes, prolonged use of antibiotics, corticosteroid use, and being on immunosuppressive treatment
Signs & symptoms
• Erythematous, moist exudate in the skin folds and accompanying satellite pustules
• Nail affection leads to painful swelling of the nail bed and folds, with pus discharge and is made worse by contact with water
• Oral lesions are characterized by white, adherent mucosal plaques in buccal cavity including the tongue
• Vaginal candidiasis is characterized by itchy, curd-like whitish vaginal discharge, dysuria and dyspareunia
• Gastrointestinal candidiasis may be associated with painful swallowing (odynophagia). Characteristic lesions are seen on endoscopy.
Diagnostic criteria
• Erythematous, moist exudate in the skin folds and accompanying satellite pustules
• Nail affection leads to painful swelling of the nail bed and folds, with pus discharge and is made worse by contact with water
• Oral lesions are characterized by white, adherent mucosal plaques in buccal cavity including the tongue
• Vaginal candidiasis is characterized by itchy, curd-like whitish vaginal discharge, dysuria and dyspareunia
• Gastrointestinal candidiasis may be associated with painful swallowing (odynophagia). Characteristic lesions are seen on endoscopy.
Investigation
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Treatment
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Non-Pharmacological treatment
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Pharmacological
- •Clotrimazole cream 1% apply 12 hourly for 2 weeks
OR
•Miconazole cream 2% apply 12 hourly for 2 weeks
OR
Prevention
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Updated on,
3 Novemba 2020 11:04:08
References
- 1.STG