View of posterior pharynx showing pseudomembranous oropharyngeal candidiasis in a patient with HIV, with a distribution concerning for esophageal candidiasis (later found on scope). Pseudomembranous candidiasis in a person with HIV. Adults can be treated with a swish and swallow nystatin suspension in a dose of 5mL (500000 units) four times daily. This helps differentiate this process from thrush or residue from ingested materials. 'Acute pseudomembranous candidiasis' is a classic form of oral candidiasis, commonly referred to as thrush. Epidemiology Candida colonizes 30-60 of healthy mouths Opportunistic infection occurs in the immunosuppressed or immature Immune System s Common in infants, especially Breast fed Rare in first week of life Peaks at 4 weeks of age III. Hairy leukoplakia cannot be removed with a tongue depressor (note Fig. Hairy leukoplakia, lingual lichen planus, flecks of milk or food debris, and liquid antacid adhering to the tongue may be confused with candidiasis. Colonization of surface epithelium by Candida occurs due to altered oral microflora.
Predisposing factors include antibiotic use, inhaled and oral corticosteroids, radiation to the head and neck, extremes of ages, patients with immunologic deficiencies, and chronic irritation (eg, denture use and xerostomia).
Atrophic or hyperplastic plaques Sets found in the same folder. pseudomembranous (white) and/or atrophic (red) patches. Painful inflammatory erosions or ulcers may be noted, particularly in adults. Treat with oral nystatin or fluconazole Swish and swallow. These lesions tend to be painless, although some patients experience a burning sensation. White, flaky, curd-like plaques covering the tongue and buccal mucosa with an erythematous base are typical of thrush.
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