Abstract
Oral candidiasis, the most common opportunistic oral fungal infection in human is mainly caused by Candida albicans . Predisposing factors in the disease include immunosuppression, medications, malignancies, endocrine disorders, nutritional deficiencies, high-carbohydrate diet, salivary changes, dental prostheses, smoking and poor oral hygiene. We report a case of oral candidiasis with severe iron deficiency anaemia as an underlying factor, in a 40 year old male patient, based on the history, clinical findings, and fungal examinations. Case management included prescribing anti-fungal agent, identification and correction of predisposing factors and elimination of oral fungal reservoir. The oral lesions were reduced with improving systemic condition. We concluded that comprehensive management is required to achieve an optimal improvement in this case.
Highlights
Oralcandidiasisth, e mostcommonopponunisticoral fungalinfectionin humanis mainlycausedby Candida albica^t. Predisposingfactors in this diseaseinclude immunosuppressiomn,edications. malignanciees,ndocrinedisord€rsn, utritionadl eficienciesh,igh-carbohydradteiet,salivarychangesd,ental prosthes€ssm, okingandpoorolal hygieneW. e repoda caseofonl candidiasiwsith sever€irondeficiency anemiaasan und€rlyingfactot in a 40 yearsold malepatientb, asedon the history,clinicalfindingsand fungalexaminationsC.asemanagemenintcludedprescribinganti-fungaal gent,identificationaodconection ofpredisposinfgactorsandeliminationoforal fungalreservoirT. heorallesionswerereducedwithimproving systemiccoDdition.We concludedthat comprehensivme anagelnenist requiredto achievean optimal improvementin thh case,.lndonesidnJturnal of Dentistry2006:Edisi KhususKPPIKC Xl V: I -6
Fotos PG, vincent SD, H€lhtein Iw olal onl Med oral Pathol Otul Radiol Endod
Summary
Oralcandidiasisth, e mostcommonopponunisticoral fungalinfectionin humanis mainlycausedby Candida albica^t. Penimbangapnemilihanmodalitasterapianti fungi dan ia lebih banyakmakanroti ataukue. Menjadtierapipilihanpenamasecaratopikaluntuk dan 3 bulan yang lalu baru selesaimenjalani kandidiasiosrallokaldanringan,senaterapiPilihan pengobatan anti tuberkulosis (Etambutol, keduasecarasistemikuntukkandidiasiosral berat, RifampisioI,NH) selama9 bulandi RSPasafRebo. Baik lokal ataupunm€nyeluruhatau infeksi pada Saatini obar yang masihdikonsumsoi bat untuk individudengansupresiimun."' Padatiap individu sakit maag(Mylanla,Magtacid).Keadaanumum dapatdijumpai faktor predisposisyi ang berbeda- pasiensedangp. RSUPN,CM, labial, bukal, palaium.dan dasar mulut pucat.
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