Definition It is a superficial infection of the moist cutaneous areas of the body caused by Candida (Monilia) albicans.

The thrush is called "thrush" or thrush when it occ urs in the oral cavity.

They are often attacked mouth, vagina, urinary tract, and fold under the breast, axillary and perineal. Sometimes the infection is observed among fingers and toes, and at the base of the nails and around poorly fitting denture s. Epidemiology It occurs mainly in children In children born to women with vaginitis

moniliasis. It is observed in adults with immunosuppression and those who take steroids for a long time. Clinical lesions are white plaques, confluent, superficial, inflammatory surfa ce on a red and moist. Most of the patients are asymptomatic. Sometimes there is burning, decreased taste. Cosmetic concern for the white curds on tongue. Ody nophagia. Moniliasis Classification Moniliasis Acute produces white plaques adherents like rennet, distributed irregularly in the oral mucosa. The plates qu ietar a bleeding surface is bare. Intraoral lesions are usually accompanied by s welling and cracking corners of the mouth and lip crusting. Chronic moniliasis: a rare type of Candida albicans infection, which causes a granulomatous lesion that usually beg ins in infancy or childhood. Al progresar la enfermedad no solo participa la muc osa bucal si no también las uñas y la piel de la cara y cuero cabelludo. The granuloma moniliasis is manifested by profound inflammation by production of granulation t issue. In most cases originates death of pulmonary involvement with multiple abscesses, often accompanied by kid ney damage. Pathophysiology C. albicans is part of the flora normal oropharyngeal. Your overgrowth with resultant mucosal candidiasis occurs when immunity is suppressed locally, as with the use of inhaled corticosteroids or deep inmunodeficienica happens when disease progresses, HIV.

Complications Malnutrition

Candida esophagitis Candida spread of tract

bowel, lungs, skin and other areas Diagnosis It is usually manifest by the plates white characteristics based on inflammatory. Differential DX Oral hairy leukoplakia, condyloma acuminatum, geographic tongue, hairy tongue, l ichen planus, bite irritation. Laboratory tests Crop Preparation KOH. Treatment Endoscopy

Topical therapy: Nystatin: vaginal tablets, 100 000 units 3 times a day dissolve d slowly in the mouth, oral tablets, 2000 units, a pill five times daily, oral s uspension, 1 to 2 tablespoons, are held in the mouth for 5 minutes and then swal lowed. Clotrimazole, oral tablets, 10 mg, 1 tablet 5 times a day. Prevention People with recurring outbreaks of oral thrush or those who are at high risk of developing this disease antifung al medications may be given prophylactic (preventive). If a baby is being breast fed has thrush, the mother should also use a topical antifungal medication on he r nipples to prevent continuous spread to the baby. Systemic treatment: Ketoconazole 200 mg Four times daily for 1-2 weeks. Adequate absorption depends on gastric acid pH. Fluconazole: 200 mg orally or IV, 1 time, followed by 100 mg daily for at leas t 2-3 weeks. The recurrence is the rule, often requires maintenance therapy.