Mycoses buccales

Abstract

Oral mycosis is a very frequent affection, due generally to the proliferation of Candida albicans, a saprophyte germ that becomes opportunistic when local conditions promote its growth. Oral candidoses have, most of the time, a benign course and are well controlled by local antimycotic treatments. However, in local or general immunosuppressive contexts, the infection may evolve and become extensive, chronic, and some of the times systemic. Some exotic mycoses may develop on oral mucous membranes in some situations of immunosuppression; some others are imported mycoses that have to be recognized. In any case, ascertained diagnosis is based on evidence of the germ and its identification. The treatment is most of the time pharmacological; it is then specifically adapted to the type of oral mycosis. Most of the time, oral candidoses have a favourable prognosis but this is not the case for some deep or exotic mycoses which may be evolving and aggressive.