Candidiasis of mucous membranes

Description:

Disease which is caused by conditionally pathogenic drozhzhepodobny fungi of the sort Candida.

Symptoms of Candidiasis of mucous membranes:

It is accepted to distinguish acute candidiasis and chronic mycotic perleches - the diseases of mucous membranes of a mouth caused by fungal flora.
Candidiasis (milkwoman) of mucous membranes of a mouth can proceed is isolated or with damage of other mucous membranes and skin. In the presence of adverse factors, untimely and insufficient treatment candidiasis of mucous membranes of a mouth can be transformed in generalized with damage of internals.

On a clinical current distinguish acute and chronic forms of candidiasis of mucous membranes of a mouth.

Acute candidiasis:

    * pseudomembranous;
    * atrophic.

Chronic candidiasis:

    * hyperplastic;
    * atrophic.
Acute pseudomembranous candidiasis. Acute pseudomembranous candidiasis the mucous membrane of a back of the tongue, cheeks, the sky, lips is surprised most often. The mucous membrane of a mouth is brightly hyperemic, dry. Against the background of a hyperemia the mucous obolchka of a mouth is available the white plaque reminding the turned milk or cottage cheese. The plaque towers over the level of a mucous membrane, easily is removed at a poskablivaniye the pallet then the smooth, edematous, hyperemic surface is bared. Puffiness, a hyperemia, dryness, striation of a red border of lips cross furrows, a peeling in the form of plates with the raised edges, places covered whitish for a short while can arise erosion, macerations of a mucous membrane of a transitional fold, lips, the cracks in mouth corners covered whitish for a short while - all this is characteristic symptoms. Submaxillary lymph nodes are increased, painful at a palpation. The plaque at candidiasis consists of deskvamirovanny cells of an epithelium, fibrin, the remains of food, a barmy mycelium. Complaints to burning in oral cavities, pain at meal, existence of a plaque.

The diagnosis of multifocal candidiasis is established on the basis of the following criteria: existence of the erythematic, blyashkoobrazny or nodular defeats found in two sites or more - in the field of a mouth corner, the sky, a dorsal surface of language. Hyphas and pseudo-hyphas of kandidomitozny bodies were found with the help CHIC reaction in all affected areas. In the field of defeat pain, burning and an itch were defined.
Acute pseudomembranous glossitis. At an acute pseudomembranous glossitis distinguish the following forms:

  1. The erosive form - a mucous membrane of a back of the tongue is hyperemic, edematous, covered with the friable plaque of grayish-white color which is easily removed with formation of erosion.
  2. The infiltrative form - a mucous membrane is edematous, brightly hyperemic, side surfaces of language are covered with difficult removed plaque, infiltrirovana language nipples.
  3. An erythematic form - language is edematous, hyperemic, covered with the foamy viscous, removed plaque.
  4. A desquamative form - on a back of the tongue the sites of desquamation of an epithelium, sensitive, painful, surrounded dark yellow it is difficult the removed plaque.

Acute atrophic candidiasis. Acute atrophic candidiasis can develop as a result of carrying orthodontic designs. It is characterized by morbidity, burning, dryness in an oral cavity. Mucous membrane of a mouth bright-red, dry. At localization in language its back becomes crimson-red color, dry, brilliant, threadlike nipples are atrophied. The plaque is absent or remains in deep folds, is removed hardly, represents a conglomerate of the lowered epithelium and a large number of mushrooms of the sort Candida in a stage of active budding (a mycelium, a pseudo-mycelium). The general condition of patients with acute candidiasis, does not suffer: body temperature is not changed, there are no expressed intoxication symptoms.

Chronic candidiasis. Chronic candidiasis of mucous membranes of a mouth in the started cases is shown by prochnospayanny yellow or light brown roundish educations which rise over the level of a mucosal surface of a cover of language, cheeks, the sky. The mucous membrane is hyperemic and painful at touch and violent removal of a plaque, is edematous. Consolidation of regional lymph nodes is noted. There is a dryness in a mouth, owing to morbidity children are silent and oppressed.

Observation of chronic hyperplastic candidiasis in the field of the sky is described. After treatment by nystatin in 7 years in the same place symptoms of a disease appeared. This phenomenon was connected with presence of an imperfect mushroom of Candida grabrata. The culture of a mushroom had no sensitivity to nystatin. The site of fabric with the phenomena of a hyperplasia was cut out, treatment is carried out by Miconazolum gel. Within the last 2 years of a recurrence of process did not observe.

Chronic mycotic perleches are possible at children of preschool and school age who have frequent cold (maceration of corners of a mouth saliva during sleep with an open mouth), have multiple caries of teeth, not hygienic condition of an oral cavity, abuse carbohydrate food. However the general condition of the child is a little changed, considerable troubles are caused by rather deep cracks against the background of matserirovanny and hyperemic skin with crusts of yellowy-brown color in mouth corners complicating free opening of a mouth. Cracks at the same time go deep, there is bleeding. Perleches do not begin to live for weeks, and even months, quite often arise in cool time of the year.

Reasons of Candidiasis of mucous membranes:

More often the disease is caused by Candida albicans, and also Candida tropicalis, Candida krusei and other types.

Treatment of Candidiasis of mucous membranes:

Treatment of fungal infections has to be complex and rational. In easy degree of a disease local alkalization which is an obstacle for vegetation of mushrooms, in the form of irrigation and washing of an oral cavity of 10-15% solution of borax, 1-2% hydrosodium carbonate solution has to be applied. Powder use by nystatin is rational.

Treatment demands individual approach as candidiasis develops as the secondary disease caused by decrease in immunological protection due to various reasons.
The diet with an exception of carbohydrate products, but vitamin-rich and proteins is appointed.

General treatment of the milkwoman:

  1. Half-yen antibiotics (nystatin, levorinum).
  2. Iron preparations.
  3. The desensibilizing therapy.

Topical treatment of the milkwoman:

  1. Applications on mucous membranes of a mouth of half-yen antibiotics 3-4 times a day within 14 days, antifungal ointments for 20 min. for strengthening of penetration of antibiotics.
  2. The alkaline rinsings of an oral cavity stopping reproduction of mushrooms of the sort Candida for same are used also iodine drugs, aniline dyes 1-2 times a day.
  3. A keratoplasty - application 20 min. 3 - 4 times a day from the 4-5th day from an initiation of treatment.
  4. It is necessary to carry out careful sanitation of an oral cavity.