Candidiasis
Definition
Fungul infection caused by yeast called candida
Symptoms
Thrush – The mouth lining, tongue, or angles of the mouth are red, cracked, or have white patches.
Skin – Small-to-large patches of red, moist, raw skin usually develop in body creases, such as under the breasts, belly, or groin area
Vaginitis – Vaginal itch, pain, or burning are frequent and may be accompanied by a cottage-cheese-like discharge
Esophagitis – Swallowing may be painful, and there may be pain behind the breastbone.
Pathophysiology
Under normal conditions, there is homeostasis between candida albicans and the host
however, if the balance is disrupted by low pH, regular use of antacids or hyperglycemia
the yeast can break through the intestinal mucosal barrier and cause invasive candidiasis and candidemi
Causes
Genus candida
Candida albicand
Diagnostic tests
Obtain past medical history
Take blood samples
Physical examination
Obtain sample from the infected area
Nursing interventions
Provide appropriate supportive care for patient’s with systemic infections.
Carefully monitor intake and output and potassium levels while the patient is receiving medications.
If you note a vaginal discharge, document the color and amount.
Suggest a soft diet for the patient with severe dysphagia.
Give antifunguls as prescribed
Treatment
Clotrimazole
Fluconazole
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References
Freedberg, Irwin M., ed. Fitzpatrick's Dermatology in General Medicine. 6th ed, pp. 2006. New York: McGraw-Hill, 2003.