Fungal Infections
Candidiasis
Common oral organism, but usually does not cause
infection unless host is immunocompromised.
Acute pseudomembranous - in infants seen as Thrush.
White scrapable plaques that reveal an erythematous base.
In older children, seen in immunocompromised ones who
are under active treatment - like CT, RT, broad spectrum
ab.’s and steroids.
Median rhomboid glossitis - seen on dorsal surface of the
tongue (usually anterior to the vallate papillae). Can be a
response to broad spectrum ab.’s.
Tx - antifungal for 4 weeks (Nystatin, Ampho
B, Fluconazole or Ketoconazole.
K. Kohli, DDS