What is the management for the given case?: (A) Vitamin supplements, (B) Antifungals treatment for oral candidiasis, (C) Stop smoking and screen for carcinoma, (D) Dapsone plus steroids
Answer is B. Ans. B. Antifungal treatment for oral candidiasisOropharyngeal Candidiasis* Oropharyngeal candidiasis is also called thrush.* It is most commonly caused by Candida albicans.* It occurs most commonly in neonates and immunocompromised patients, especially in AIDS patients. It is also seen in recipients of prolonged antibiotic or glucocorticoid therapy.Clinical symptoms: Sore throat, burning tongue, white or gray plaques on the gingiva, tongue, and oral mucosa.Treatment: Oral antifungal suspension (nystatin or clotrimazole) or oral fluconazole.* Fluconazole refractory thrush seen in some patients with HIV/AIDS; in this case, oral itraconazole or voriconazole or IV echinocandin (caspofungin, micafungin or anidulafungin) is preferred.