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Friday 8 February 2013

Every thing you want to know about Candidiasis




Candidiasis
 - mild superficial fungal infection caused by genus candida.
Signs and Symptoms:
a.       The skin is scaly, erythematous, and papular rash is present, sometimes covered with exudates appearing below the breasts, between the fingers, and the axillae, groin, and umbilicus.
b.      Nails are red and swollen; the nailbeds are darkened.
c.       Oropharyngeal mucosa (thrush) – cream colored or bluish white patches exude on the tongue, mouth or pharynx that reveal bloody engorgement when scraped
d.      Vaginal mucosa – white or yellow discharge with pruritus and local excoriation; white or gray raised patches on vaginal walls with local inflammation.
e.      Renal system – fever, flank pain, dysuria, hematuria, pyuria
f.        Pulmonary – hemoptysis, fever, cough
g.       Brain – headache, nuchal rigidity, seizures
h.      Eyes – blurred vision, orbital or periorbital pain
Diagnosis
·         Stool culture
·         Gram staining of skin, vaginal discharge or scrapings
Treatment:
Ø  Nystatin, for oral thrush
Ø  Clitrimasole, fluconasole, ketoconasole – for mucous membrane & vaginal infection
Ø  Fluconasole or Amphotericine for systemic infection.

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