Oral candidiasis natural history, complications and prognosis: Difference between revisions
Jump to navigation
Jump to search
Ahmed Younes (talk | contribs) |
Ahmed Younes (talk | contribs) No edit summary |
||
| Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
There are no sequelae with appropriate antifungal therapy. In contrast, among immunocompromised patients with disseminated infections, the [[morbidity]] and [[mortality rate|mortality]] are very high. | There are no sequelae with appropriate [[Antifungal|antifungal therapy]]. In contrast, among [[immunocompromised]] patients with disseminated infections, the [[morbidity]] and [[mortality rate|mortality]] are very high. | ||
==Natural history== | ==Natural history== | ||
*Thrush in infants may be painful, but is rarely serious. If it does not resolve on its own within 2 weeks, a pediatrician must be notified. | *[[Thrush]] in infants may be painful, but is rarely serious. If it does not resolve on its own within 2 weeks, a pediatrician must be notified. | ||
*In adults, thrush that occurs in the mouth can be cured. However, the long-term outlook is dependent on a persons immune status and the cause of the immune deficit. | *In adults, thrush that occurs in the mouth can be cured. However, the long-term outlook is dependent on a persons [[Immune system|immune status]] and the cause of the [[Immunodeficiency|immune deficit.]] | ||
*In patients with immunodeficiency ([[HIV]]-positive or receiving [[chemotherapy]]), ''Candida'' can spread throughout body, causing [[esophagitis]],[[meningitis]], [[endocarditis]], [[arthritis]], or[[endophthalmitis]]. | *In patients with [[immunodeficiency]] ([[HIV]]-positive or receiving [[chemotherapy]]), ''[[Candida]]'' can spread throughout body, causing [[esophagitis]],[[meningitis]], [[endocarditis]], [[arthritis]], or[[endophthalmitis]]. | ||
==Complications== | ==Complications== | ||
Oropharyngeal candidiasis is rarely complicated except in immunocompromised individuals. | Oropharyngeal candidiasis is rarely complicated except in [[Immunocompromised|immunocompromised individuals]]. | ||
*Thrush in infants may cause weight loss because of dysphagia and discomfort associated with it. | *[[Thrush]] in infants may cause [[weight loss]] because of [[dysphagia]] and discomfort associated with it. | ||
*Spread to the trachea or the esophagus (causing respiratory distress or esophagitis) is rarely seen in otherwise healthy individuals. | *Spread to the [[trachea]] or the [[esophagus]] (causing [[respiratory distress]] or [[esophagitis]]) is rarely seen in otherwise healthy individuals. | ||
*Systemic spread causing candidaemia and distant candida infection is frequently seen in immunocompromised individuals. | *Systemic spread causing candidaemia and distant candida infection is frequently seen in [[Immunocompromised|immunocompromised individuals]]. | ||
==Prognosis== | ==Prognosis== | ||
*Prognosis of oropharyngeal candidiasis is excellent in otherwise immunocompetent individulas with no serious sequelae in the majority of cases. | *Prognosis of oropharyngeal candidiasis is excellent in otherwise [[immunocompetent]] individulas with no serious sequelae in the majority of cases. | ||
*Special attention should be given to immunocompromised patients as local spread to the trachea or esophagus or systemic spread causing candidaemia or distant candidiasis can be very serious with very high mortality rate. | *Special attention should be given to [[Immunocompromised|immunocompromised patients]] as local spread to the [[trachea]] or [[esophagus]] or systemic spread causing candidaemia or distant candidiasis can be very serious with very high [[mortality rate]]. | ||
Revision as of 20:40, 10 May 2017
|
Oral candidiasis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Oral candidiasis natural history, complications and prognosis On the Web |
|
American Roentgen Ray Society Images of Oral candidiasis natural history, complications and prognosis |
|
FDA on Oral candidiasis natural history, complications and prognosis |
|
CDC on Oral candidiasis natural history, complications and prognosis |
|
Oral candidiasis natural history, complications and prognosis in the news |
|
Blogs on Oral candidiasis natural history, complications and prognosis |
|
Risk calculators and risk factors for Oral candidiasis natural history, complications and prognosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
There are no sequelae with appropriate antifungal therapy. In contrast, among immunocompromised patients with disseminated infections, the morbidity and mortality are very high.
Natural history
- Thrush in infants may be painful, but is rarely serious. If it does not resolve on its own within 2 weeks, a pediatrician must be notified.
- In adults, thrush that occurs in the mouth can be cured. However, the long-term outlook is dependent on a persons immune status and the cause of the immune deficit.
- In patients with immunodeficiency (HIV-positive or receiving chemotherapy), Candida can spread throughout body, causing esophagitis,meningitis, endocarditis, arthritis, orendophthalmitis.
Complications
Oropharyngeal candidiasis is rarely complicated except in immunocompromised individuals.
- Thrush in infants may cause weight loss because of dysphagia and discomfort associated with it.
- Spread to the trachea or the esophagus (causing respiratory distress or esophagitis) is rarely seen in otherwise healthy individuals.
- Systemic spread causing candidaemia and distant candida infection is frequently seen in immunocompromised individuals.
Prognosis
- Prognosis of oropharyngeal candidiasis is excellent in otherwise immunocompetent individulas with no serious sequelae in the majority of cases.
- Special attention should be given to immunocompromised patients as local spread to the trachea or esophagus or systemic spread causing candidaemia or distant candidiasis can be very serious with very high mortality rate.