48/m rapidly growing with severe burning tongue since last 20 days....Medication given by Ent and dentist already alternatively Tab.MVBC Tab.Moxiclav 625mg Tab metronidazole 400mg Tab.Oflox 200mg Inj.eldervit since last 15 days Benzocaine for TA Steroid as prednisone and Deflazacrt 6mg kenacort for TA Tab .Limcee Ix CBC ALL FINDING WITHIN NORMAL RANGE WHAT COULD BE IT? NW PT DOESNT WANT ANY EXPERIENCE ON IT BCOZ HE SUFFERED LOT AND TILL NO RESULT PLZ WELCOME UR SUGGESTIONS be fast plz

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trench mouth with thrush....give nimarazole n oflaxacin combo 500 mg.each twice with kenacort gel n candid oral gel plus zocon 100 mg.dt once daily for 7 days and tab.septilin 2 tab.bd.for 30 days plus glycerine n g32 tab.powedered to b applied all over tounge n buccal mucosa.This should be supported by nimu para combo thrice a day and tab.oraflora to correct the intestinal n oral flora along with tab.limce to be chewed twice a day.

Consider taking a biopsy and send half for histopathology and other half for fungal culture and sensitivity. It is essential to rule out underlying malignant disease on which the fungus may be growing. After initial clinical response to the medicines the fungus must be growing back as the fungal hyphae remain above inside the malignant ulcer base.

it's look like hyperplastic candiadisis which is not easy to remove like pseudo membranous candiadisis, most common in denture wearing patient along with typical future of angular cheilitis. advice to maintain oral hygiene and avoid hot and spicy foods. Continue the medication already prescribed.

and f t so. f.d . dm

oral candidiasis with cheilosis ketakinazole BD for 2 week Tab Rebazen tid for 14 day Tab Folic acid OD for two months. Cream Laxanox application Betadine gargle with water 3 to 4 times / days. inj Vitcofol 1 ml IM for 2 week. biopsy

use -- zocon-T kit daily for 14 days multivitamin+ folic acid B12 steroids - Prednisolone 10 mg bd all for 14 days than zocon 150 every week for 3 -4 months along with gum paint

immunity status?

well and already started immunosupportive drugs



What if this species of Candida is resistant to your antifungal meds and it is some other resistant species? Histopathology and Culture sensitivity of that 'Tongue scrapping may determine the right species of Candida and then give med accordingly. Also rule out gastric pH alkalinity. Some believe that high alkalinity of gut is favourable for candida growth. Acidity does not let it grow. So was or is she on Antacids? Regulate pH of gut and try diet that creates more acidic environment for oral and gut region. We can try in every possible manner to diagnose the reason for reoccurrence.

If you have ruled out every thing, do rule out HPV causing Papilloma and Verrucus vulgaris too using Histopathology. They turn into stubborn oral warts overlapped by candida and don't respond to any medicines until surgically removed. Try tongue scrap specimen or biopsy to confirm it. Also, Too much antibiotics can suppress her oral mucosal good bacteria so kindly give her some break from them. Give her multivitamins and symptomatic local applicants only for some time. Sometimes too much ABs act like immunocompromised states itself..

Histo may reveal Dysplasia, keratosis and CA if any too..
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