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Odontologia Clínico-Científica (Online)

On-line version ISSN 1677-3888

Abstract

VIEIRA, Tássia Tamara Pedroza et al. Oral candidiasis in HIV- infected patient: report case. Odontol. Clín.-Cient. (Online) [online]. 2012, vol.11, n.2, pp. 169-171. ISSN 1677-3888.

DOral candidiasis is the most frequent opportunistic fungical infection among human immunodeficiency virus (HIV)-infected patients, and it uses to represent a marker for AIDS' progression. This paper aims to describe a case of oral candidosis and oropharynx in a HIV+ patient. Development: Patient, male, 46 years old, HIV infected, attended the SIVIH/HULW showing white plaques that could be scraped off, located in the jugal, labial mucosa and oropharynx, as well as showing clefts in the labial commissures. He related difficulty swallowing, oral and throat burn, hoarseness and loss of taste. The clinical diagnosis was oral pseudomembranous candidosis, oropharynx and angular cheilitis. Definitive diagnosis has been obtained by performing mycological examination that showed the presence of Candida albicans (CFU= 430). Fluconazole 100 mg 12/12 h during one week has been prescribed. Patient returned showing total remission of clinical frame, with negative result for candida. In this case, predisposing factors, relation with CD4+ levels, clinical features, diagnosis and treatment for oral candidosis and oropharynx are discussed. Conclusion: Oral and mycological clinical examination are important for diagnosis of oral candidosis. The role of the dentist is emphasized in the control of oral and general health of the HIV+ patient.

Keywords : HIV Infections; Oropharynx Candidiasis; Oral Candidiasis; Candida albicans.

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