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Infection due to Candida albicans, common in infants, immunocompromised or diabetic patients. Other risk factors include treatment with oral antibiotics or high-dose inhaled corticosteroids.
Clinical features
- White patches on the tongue, inside the cheeks, that may spread to the pharynx.
- In patients with frequent recurrences or extensive forms invading the esophagus (swallowing difficulty and pain), consider HIV infection.
Treatment
nystatin oral suspension for 7 days
Children and adults: 400 000 IU daily, i.e. 1 ml of the oral suspension (100 000 IU) 4 times daily
or
miconazole oral gel for 7 days
Children 6 months to 2 years: 1.25 ml 4 times daily
Children over 2 years and adults: 2.5 ml 4 times daily
Apply the oral suspension of nystatin or the oral gel of miconazole between meals; keep in the mouth for 2 to 3 minutes, then swallow. In young children, apply to the tongue and inside of each cheek.
Show the mother how to treat since, in most cases, candidiasis will be treated at home.