Oral Candidiasis

Case Report
Operator : drg. Istiqamah Yusuf
Supervisor : drg. Gus Permana S, PhD, Sp.PM
Nama Mahasiswa : Cymilia Gityawati
(1206207741)
Case Report
 Patient’s Status

Age/D.O.B.:
Name: S.M Sex : Male
64/02/05

NRM : 421- Date : Visit

70-64 06/02/2017
 Case Report: Visit 06/02/2017
Anamnesis
• Patient came to control with his working diagnosis Oral Candidiasis
• There is swelling and mildew in the left maxilla gum post-extraction 2 months ago
• Patients apply albothyl to the gum area for 1 month, but the gums do not improve.
• Biopsy was then performed in January 2017, the biopsy result was fribroepitelial
hyperplasia.
• Patients were given chlorhexidine compress therapy 0.2% 3 times daily and pro
examination of DPL, SGOT, EDS, SEPT
• One week later the patient came for control with DPL results (Hb: 13,7 / Ht: 40,7 /
Erythrocyte: 4,52 / Leukocytes: 9,13 / Platelets: 233)
• Direct mycological examination results are yeast (+), pseudohifa (+), culture:
growing albicans albicans dakim colonies with unaccounted numbers
• SGOT / SGPT 33/4 and GDS 233 mg / dl
• Diabetes mellitus controlled patients with 2x daily insulin injections
Intra oral
Examination

• Poor oral hygiene

• Debris

Ekstra oral
Examination

• Dry lips
• Lymph node normal
Diagnosis

•Oral Candidiasis

Treatment

•CIE
•Explanation about mycological examination results
•Fluconazole 150mg once a day (first day)
•Fluconazole 100mg once a day (day 2 to 7)
•Pro control on 9th of June 2017
Literature Review
 Oral Candidiasis
Definition
• Oral candidiasis is the most prevalent opportunistic infection affecting the oral
mucosa. In the vast majority of cases, the lesions are caused by the yeast Candida
albicans.

Etiology
• C. albicans, C. tropicalis, and C. glabrata comprise together over 80% of the
species isolated from human Candida infections.

Pathogenesis
• The pathogenesis is not fully understood, but a number of predisposing factors
have the capacity to convert Candida from the normal commensal flora
(saprophytic stage) to a pathogenic organism (parasitic stage).
 Clinical Features

Pseudomembranous candidiasis Erythematous candidosis caused Chronic plaque-type candidiasis.

by inhalation steroids.

Denture Stomatitis tipe III Angular Cheilitis

Chronic nodular candidiasis in
the left retrocommissural area
Median rhomboid glossitis. Erythematous candidiasis at the
central part of the tongue in
an AIDS patient. Hairy
leukoplakia can be seen at the
right lateral border.
Diagnosis and Laboratory Findings
Therapy
Discussion
• A 64-year-old man came to control with his working diagnosis Oral
Candidiasis
• There is swelling and mildew in the left maxilla gum post-
extraction 2 months ago
• Patients apply albothyl to the gum area for 1 month, but the gums
do not improve.
• Biopsy was then performed in January 2017, the biopsy result was
fribroepitelial hyperplasia.
• Patients were given chlorhexidine compress therapy 0.2% 3 times
daily and pro examination of DPL, SGOT, EDS, SEPT
• One week later the patient came for control with DPL results (Hb:
13,7 / Ht: 40,7 / Erythrocyte: 4,52 / Leukocytes: 9,13 / Platelets: 233)
• Direct mycological examination results are yeast (+), pseudohifa
(+), culture: growing albicans albicans dakim colonies with
unaccounted numbers
• SGOT / SGPT 33/4 and GDS 233 mg / dl
• Diabetes mellitus controlled patients with 2x daily insulin
injections
Based on anamnesa and clinical
examination

• There are white patches on gingiva 23-25 and leaving

area of erythema when in wipes
Treatment

• CIE
• Explanation about mycological
examination results
• Fluconazole 150mg once a day (first day)
• Fluconazole 100mg once a day (day 2 to 7)
• Pro control on 9th of June 2017
 Reference
• Glick M. Burket’s Oral Medicine, 12e. PMPH-USA; 2015.
• Regezi JA, Sciubba JJ, Jordan RCK. Oral Pathology: Clinical
Pathologic Correlations. Elsevier Health Sciences; 2012.