Mucocutaneous Candidiasis

- Thrush Fungal Infection – Mucocutaneous Candidiasis

- What is Mucocutaneous Candidiasis?

It refers to a condition caused by a fungus from the candida family that develops an infection of the mouth, nails, skin, and at times other organs.

- Who is affected?

Mucocutaneous candidiasis– affects infants, starts usually before 3 years and young adults, is rarely seen in adults with other diseases.

- What are the symptoms?

Oral Thrush
Thrush lesions in the esophagus, causes pain and difficulty swallowing
Lesions on the larynx, causing hoarse voice
Fingernails and toenails – painful, reddened, and tense swelling at the base or along the sides
Reddened, irritated areas seen under the arms, groin, breasts, vagina.These areas are often itchy and uncomfortable
Hard and horn-like lesions with a reddened base, on the skin, scalp, and trunk
In very rare occasions infection of deeper organs or in the blood.

- How is it diagnosed?

Examination under a microscope shows the presence of candida
Blood samples.

- What is the treatment?

Topical therapy, including clotrimazole troches or nystatin, oral fluconazole is as effective. Itraconazole, Ketoconazole are less effective than fluconazole

For effective treatment of esophageal candidiasis a 14-21-day course of either fluconazole or itraconazole solution is highly effective.

Caspofungin and voriconazole are effective in treating esophageal candidiasis among HIV-1-infected patients, fluconazole remains the preferred agent.

Uncomplicated vaginal infection is treated with:

Topical clotrimazole for 3-7 days
Topical nystatin
Oral Itraconazole
Oral fluconazole 1 dose.

- How much does the treatment for Candidiasis cost?

The cost of the treatment depends on the treatment modality. In general, the consultation charges are about INR 1000/-.

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