Concluded Case

HIV ,oral Candidiasis, EPTB

47yrs female non diabetic non hypertensive came at OPD with complaints off low grade fever and difficulties in swallowing, weight loss almost 7-8 kg in last 2months and this was the clinical presentation of oral cavity ...... What is the Probable spot diagnosis ??

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Concluded answer

it's oral Candidiasis in newly detected immunocompromised patient(hiv1 reactive) and ART naive with extrapulmonary tb CD 4 count 56. tab fluconazole started with candid mouth paint ATD started .... ART will start after all opportunistic infections rule out .... thanks to all for answers and valuable contribution.

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Oral thrush. It is an infection in which the fungus Candida albicans accumulates in the mouth. It's common in babies, people with immune deficiency and those who use steroid sprays for asthma.. Oral thrush causes white lesions on the tongue or inner cheeks.. Oral thrush and other yeast infections are caused by an overgrowth of the fungus Candida albicans (C. albicans). It's normal for a small amount of C. albicans to live in your mouth, without causing harm.. Drugs such as prednisone, inhaled corticosteroids, or antibiotics that disturb the natural balance of microorganisms in your body can increase your risk of oral thrush. Antifungal, Topical antiseptic and Dietary supplement. Itacanazole.2p0.mg.1 tab OD.x 2 months.

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Oral candiasis Yes immunocompromised status should be checked Rx cap itracanazole200mg 1od Locally clotrimazole+kenacort gel locally frequently Multivitamins supplements Short course of tab azithromycin 500mg 1od Adv to avoid tobacco smoking and alcohol or beetle chewing Beside hiv check Bsl vdrl And biopsy

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Extensive oral thrush . There can be thrush in the upper GI tract, and vagina also . Immunocompromised state ? HIV positive ? DM on steroids, antibiotics, chemo radio therapy . Suggest investigations Flucanazole 150 mg OD for 1 week Clotrimazole mouth paint .

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SEVERE ORAL THRUS/ADVANCED ORAL CANDIDIASIS DUE TO IMMUNOCOMPROMISED CONDITION To be evaluated properly...to conclude Till then Fluconazole 200 of Betadine mouth wash to gragle 6 hourly CLOGEM(CLOTRIMAZOLE) LOZANGE TO CHEW 3-4 TIMES DAILY TAB.ORAFLORA BD

Thanks Dr. Vipin Bihari Jain
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Apparently Oral thrush/ CANDIDIASIS Tab fluconazole 150mg 1weekly Mycostatin glycerine locally Bcomplex 1bd

Thanks Dr. Kute Ankush, Dr. SM Sarfaraz, Dr. Gyanendra Tripathi,Dr Maqsud Ansari,Dr. Amitabh Dasgupta, Dr. Ansuiya Mukherji, Dr. Dinesh Gupta, Dr. S. M Sarfraz, Dr. Sabista Naaz, Dr. Suraj Kanni
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Oral thrush .Look for TB,DM, The entire oesophagus might be with similar pathology. steroids history to be ruled out .Malnourished state has to be worked out.look for malignancy some where.Rules tube feeding and extensive case study is necessary .

Yes it's a case of advanced oral candidiasis with secondary infection. Looks immunocompromised with other underlying medical problems.Do all the relevant investigations and consult with an oral surgeon for the needful.

Oral thrush/candidiasis Rule out secondary causes like diabetes, HIV,autoimmune diseases,corricosteroid therapy,secondary sites such as oesophagus, larynx , trachea and upper GI tract by , cervix,UGI endoscopy Check for immunoglobulins like Ig G, I g A ,Human papilloma virus infection if cervix positive (pt is female)in the routine blood tests. Tab fluconazole 300 mg bd 3 months Mouth wash ronse 4/5 tomes / day Multivitamins odx 3 months Rich protein and veg diet
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It's oral candidiasis But I think patient is immunocompromissed. Get HIV, HBSag test done Also chest xray, endoscopy needed Itraconazole 200 bd Candid mouth paint Betadine gargle

? ADVANCED..ORAL CANDIDIASIS.. NEED'S.. HISTOPATHOLOGICAL STUDY..BIOPSY WITH EXPERTS OPINION..

Tnx Dr Vipin Bihari Jain sir
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

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