Doctor's Notes on Every Thing You Need to Know about Yeast Infection (Candidiasis)
- Oral candidiasis (also termed thrush): thick white lacy patches on top of a red base almost anywhere inside the mouth and the tongue may look red without the white coating
- Candidiasis on the skin: It mainly occurs in warm and moist areas such as diaper area and/or skinfolds as a red flat reddish area with sharp scalloped edges; the areas may be itchy and/or painful.
- Candidiasis associated with people who have weakened immune systems: Oral candidiasis may extend into the upper gastrointestinal tract and may produce ulcers, nausea, vomiting, and chest pain and make it difficult to swallow foods and liquids.
- Blood-borne candidiasis: possible fever, mental status changes
- Genital candidiasis: Signs and symptoms of this in women include a thick white discharge resembling cottage cheese, itching and irritation of the vagina and surrounding tissue, burning with urination, and/or discomfort and pain with sexual intercourse. In men, symptoms and signs include itching and burning of the penis and a reddish rash on the skin of the penis.
The cause of candidiasis is usually a yeast infection by Candida albicans. These yeast commonly are found on the skin and mucosal surfaces of healthy individuals. Yeast cause infections when local conditions (cracks in skin, skin is kept included and/or wet or damp, individuals have poor or depressed immune response) encourage rapid yeast growth.
What Are the Treatments for a Yeast Infection (Candidiasis)?
Treatments for a yeast infection (candidiasis), no matter where the infection is located (vaginal, cutaneous [like diaper rash], or oral thrush), may include the use of an antifungal drug. Treatments vary with location:
- Thrush: topical nystatin, clotrimazole
- Esophagitis: oral fluconazole, itraconazole
- Cutaneous: topical nystatin, clotrimazole, miconazole
- Vaginal: antifungal creams, oral or IV fluconazole
- Systemic: oral or IV antifungal drugs such as fluconazole, echinocandin, and amphotericin B
Your doctor can prescribe a treatment that is best for your condition.
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Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.