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Oral
candidiasis is a common fungal infection in
HIV disease. It may be asymptomatic or cause a bad taste in
the mouth or dysphagia. The most frequent manifestation
is this pseudomembranous form, also known as thrush, which is
characterized by white, curd-like plaques on the tongue, buccal mucosa,
palate, or posterior pharynx. Diagnosis is made by potassium hydroxide (KOH) preparation.
Oral candidiasis is treated with topical agents such as nystatin swish
and swallow or clotrimazole troches. Refractory cases may require
systemic therapy with oral fluconazole. |
