General information
Mycosis of the mucous membranes of the oral cavity ( stomatitis or thrush ) is usually a dysbiosis , it is provoked by yeast fungi and most often by the genus Candida. A fungal infection can affect both adults and children, regardless of gender, the main condition is the presence of severe illness or long-term antibiotic therapy, but most often it affects infants or elderly people who have a chronically weakened immune system , the functioning of other systems is not adapted or impaired, and organs.
It can occur as an independent pathology, be a secondary infection or a manifestation of other chronic diseases.
Pathogenesis
Yeast fungi in the human body are considered to be opportunistic microflora . They may be present in the microflora, and if the immune system is strong, then the fungal infection does not cause diseases, for example, urogenital, respiratory, skin, or, as in this case, the mucous membranes of the oral cavity. Normally, in almost 70% of the population, yeast fungi are present in the resident microflora; they are inactive and do not cause candida or other fungal diseases. Reproduction usually occurs by budding and spores. Proliferation occurs not due to the departure of daughter cells from the mother cells, but through elongation and formation of a pseudomycellar tree. As a result of vital activity, toxic substances are released that weaken the human immune system.
Model of a fungus cell of the genus Candida
alcohol and drug abuse, oncology, and the use of contraceptives contribute to imbalance of the oral microflora and excessive proliferation of opportunistic fungi . Fungus in the mouth is most often a superficial disease that affects the mucous surface of the cheeks, the corners and borders of the lips, the back of the tongue, the palate, etc., but with significant spread and penetration into the bloodstream it can cause systemic chronic and generalized disorders.
In neutropenic or severely ill patients, candidal fungal infection can enter the bloodstream, where it causes widespread visceral dissemination. Generalized mycosis can lead to candida sepsis and even death.
How to eat during treatment
Candida fungi multiply very quickly if a person eats a lot of sweets. Therefore, until complete recovery you need to stop eating:
- sweets;
- ice cream;
- baking.
Any alcoholic drinks are also prohibited.
Meat lovers should give preference to turkey and chicken. Buckwheat porridge is very useful - it contains many B vitamins. In order not to further irritate or injure the mucous membrane of the tongue, you should eat warm and well-chopped food.
Classification
Mycoses are divided depending on the form of the course - mild and severe, acute and chronic; according to the type of changes, they can be acute pseudomembranous candidiasis (thrush), acute atrophic candidiasis , chronic hyperplastic candidiasis , candida-associated periodontitis , ulcerative-erosive stomatitis .
The localization of fungi can be on the tongue, on the cheeks, on the lips, in carious cavities and root canals, on the tonsils, in the corners of the mouth, or affecting the entire surface area of the oral cavity.
Fungus on tongue
The pathological effect of various infectious agents on the tissues of the tongue causes glossitis . One of the manifestations of glossitis may be the loss of the ability to determine tastes. Significant contamination also leads to the formation of ulcers, the sensation of blood in the mouth, and spread to the tonsils and pharynx.
Different types of candidiasis on the tongue
Fungus on the tongue, photos of various types of damage to the epithelial layer (atrophic, hyperplastic, all-membranous and thrush), clearly demonstrates how varied the symptoms of glossitis can be. At the first signs, you should contact your dentist for a consultation.
Fungus on lips
The course of mycoses on the lips is usually chronic and most often manifests itself in redness. Unpleasant symptoms can occur even in people with fairly strong immunity, but more often in patients with diabetes , tuberculosis or AIDS .
Fungus on lips
Other symptoms may include slight swelling of the lips, burning, peeling, and a white coating as in the photo of fungus on the lips. The existing crusts are grayish in color, have raised edges and a tightly attached center, and differ in size. If you try to tear off the crust, a bleeding wound will open. In general, the pathology causes discomfort and pain.
The mucous surface of the inner part and red furrow of the lips may become thin, cracked, and tense. This is a fairly rare separate disease, also called cheilitis .
What is recommended to rinse your mouth with?
As part of the treatment, various rinses are recommended. As a rule, specialists prescribe solutions for disinfection; they help remove plaque, remove secretions from other areas of the mucous membrane, suppress inflammation, and also heal microtraumas on soft tissues. In such situations, a 2% solution of regular baking soda or a mixture of iodinol and water is often used. It is recommended to repeat rinsing every couple of hours, as well as after waking up and before going to bed. On average, the course lasts about 2 weeks. However, therapy should never be started without the consent of a specialist. Before performing the first procedure, consult your doctor.
Rinsing is prescribed by the attending physician
Causes
The cause of fungus in the mouth is an imbalance of microflora and the pathogenic effect of prevailing conditionally pathogenic yeast fungi. The most common pathogens of the genus Candida are Albicans, krusei C, parapsilosis, tropicalis, pseudotropicalis, lusitaniae, dubliniensis and glabrata.
Infection can occur from the outside - during the passage of the birth canal, through sexual contact, kissing and everyday interactions with a sick person. Chronic microtraumas from the edges of teeth, poor dentures, serious illnesses, reduced immunity (including those caused by AIDS), chaotic use of antibiotics, excessive use of antiseptics, and the virulence of the pathogen also contribute to the penetration and growth of yeast fungi in the mouth.
Symptoms
Oral fungus has a pathological effect, which consists of damage to the mucous membranes of the oral cavity, on the red border of the lips (otherwise called cheilitis) and in the corners of the mouth. Damage to the mucous membranes in the mouth when the patient is in a weakened condition or after long-term antibiotic therapy can lead to acute catarrhal stomatitis .
Pathology usually manifests itself in the form of a hyperemic or even bluish surface of the mucous membranes and the formation of single white plaques. They look like they are glued on. The fungus in the mouth, the photo of which is presented below, initiates chronic atrophic changes in the structure of the epithelium.
Fungus in the mouth
In addition, in addition to white plaque, crusts and redness, white papules, unpleasant local symptoms may occur in the form of itching, changes in taste, pain and burning.
Features of the disease
With candidiasis, there is an active spread of fungi of the genus Candida. Most often it is Candida albicans. To identify the pathogen, doctors carry out laboratory diagnostics - microscopic and bacteriological examination of the mucous membranes of the mouth, scraping plaque from the tongue.
Oral candidiasis is usually classified into two types:
- Yeast stomatitis. Affects the cheeks, gums, and palate. The tissues become covered with a characteristic white coating that cannot be easily removed.
- Yeast glossitis. The source of infection is the tongue. His back is affected. Small deep grooves are formed on its surface, in which whitish masses are deposited.
Tongue thrush always has clear clinical symptoms. It leads to swelling and inflammation of the tissues, causing severe pain. It gets to the point that the patient cannot chew food or even drink normally. The situation is aggravated by bad breath, which cannot be masked in any way.
Tests and diagnostics
To confirm the diagnosis, microscopic examination of crusts and other biological tissues, fluids or scrapings is carried out, depending on the location of the pathology. As a result, fungal mycelium is detected. It is quite important to identify the causative microorganism (PCR diagnostics, ELISA, cultural inoculation with quantitative monitoring can be used for this), since various types of fungi can exhibit resistance to antifungal drugs.
Additional studies include checking for gastrointestinal pathologies, diabetes mellitus and leukemia .
Carry out differential diagnosis:
- with eczema - characterized by the formation of weeping surfaces after the opening of the blisters, redness and swelling are more pronounced;
- with leukoplakia , manifested by the development of plaques and opacities of areas of the epithelium;
- with allergic, streptococcal stomatitis, cheilitis and other similar lesions of a different nature.
Candidiasis
Cervical cancer
Diabetes
HIV
Thrush
18658 July 27
IMPORTANT!
The information in this section cannot be used for self-diagnosis and self-treatment.
In case of pain or other exacerbation of the disease, diagnostic tests should be prescribed only by the attending physician. To make a diagnosis and properly prescribe treatment, you should contact your doctor. Candidiasis: causes, symptoms, diagnosis and treatment methods.
Candidiasis is an infectious disease caused by yeast-like fungi of the genus Candida. It is caused by the active proliferation of fungus on the mucous membranes of the oral cavity, genital and internal organs and on the skin.
All representatives of the genus Candida belong to opportunistic microorganisms, that is, they are constantly present in the normal microflora. But with a decrease in immunity, changes in hormonal levels and for a number of other reasons, these fungi can begin to actively colonize the mucous membranes and skin.
The most common members of the genus are Candida albicans and C. tropicalis. In 90-95% of cases of urogenital candidiasis, C. albicans is the dominant pathogen.
The first contact with fungi of the genus Candida occurs during the passage of the child through the birth canal. However, the medical literature describes cases of detection of these microorganisms in amniotic fluid, which indicates the possibility of a vertical (transplacental) transmission route. Transmission of the fungus of the genus Candida also occurs through breastfeeding, skin contact between the child and the mother, and through household and food routes.
These microorganisms produce endotoxins and enzymes that cause cell death and tissue necrosis, which enhances the adhesive (attachment to cells of the mucous membranes or skin) ability of the fungus and ensures penetration into tissue.
Overproduction of these and a number of other substances determines the pathogenicity of representatives of the Candida family.
Causes of candidiasis
- Exogenous (external) factors facilitating the penetration of fungi into the body:
- occupational hazards leading to frequent skin damage;
- prolonged exposure to a warm and humid environment;
- violation of the integrity of the mucous membranes.
- Factors leading to a decrease in the body's resistance:
- presence of chronic diseases;
- long-term use of drugs that disrupt the natural microflora;
- unbalanced diet;
- frequent stress, disturbances in sleep and rest patterns.
Risk factors for developing candidiasis
- Metabolic disorders (hypovitaminosis), diseases of the immune system (HIV infection), endocrine pathologies (diabetes mellitus, etc.).
- Long-term use of certain drugs: hormonal contraceptives, systemic glucocorticosteroids, broad-spectrum antibiotics, cytostatics.
- Long stay or living in an area with high humidity and temperature, comfortable for the circulation of fungal spores in the environment.
Classification of the disease
Based on the localization of the process, the following are distinguished:
- Urogenital candidiasis.
- Candidiasis of the oral mucosa.
- Superficial candidiasis.
- Interdigital candidiasis.
- Candidiasis of periungual ridges and nails.
- Candidiasis of the gastrointestinal tract.
Symptoms of candidiasis
Urogenital candidiasis (UGC)
– a widespread disease: according to medical statistics, about 75% of women of reproductive age have registered symptoms of UGC at least once.
There are acute and chronic forms of urogenital candidiasis, candidiasis of the vulva, vagina and other urogenital localizations.
In some cases, when diagnosing, a clarification is used: complicated or uncomplicated UGC, which reflects the number of exacerbations per year and the severity of the disease. Symptoms of female urogenital candidiasis
- The appearance of white-yellow cheesy or creamy discharge from the genital tract. The intensity of discharge may increase before menstruation, which is associated with changes in hormonal levels.
- Unpleasant sensations, itching in the genital area, often aggravated by sexual intercourse or urination.
- Redness and swelling of the mucous membrane of the vulva and vagina, the presence of damage to the skin of the genital organs (cracks, microtraumas).
- In the chronic course of UGC, dryness of the mucous membranes of the genital tract develops.
Symptoms of male urogenital candidiasis
- Redness, swelling, discomfort in the genital area.
- Whitish discharge of a cheesy structure from the genital tract.
- Pain and burning during sexual intercourse and urination.
Superficial candidiasis
can be erythematous (the main symptom is reddened areas of the skin with a weeping surface) and vesicular (the formation of papules, vesicles and pustules in the affected area - inflammatory elements located in the superficial layers of the skin). The lesion begins with large folds of skin, gradually spreading to other areas of the body. In the depths of the folds, weeping occurs (separation of serous exudate through the smallest defects of the epidermis), a violation of the integrity of the skin contributes to the addition of a secondary infection.
Interdigital candidiasis
localized in the space between the fingers. In this case, redness of the skin is noted, followed by the appearance of bubbles in transparent contents. The disease spreads quickly in close groups (in kindergartens, schools, etc.).
Oral mucosal candidiasis (OCOR)
Oral candidiasis causes discomfort, especially when eating - burning, pain, dryness. Depending on the location of the process, several forms of oral candidiasis are distinguished.
Often, CSOPR and the gastrointestinal tract accompanies immunodeficiency conditions: HIV infection, acquired human immunodeficiency syndrome (AIDS) or congenital immunodeficiency (for example, with T-lymphocyte pathology). In the presence of these diseases, candidiasis occurs with the most severe symptoms, is difficult to treat, and is aggressive in nature.
The most common manifestation of CSOPR is candidal stomatitis, which mainly affects infants and adults with weakened immune systems.
With this pathology, the oral mucosa turns red, swells, and whitish films with a cheesy consistency appear on it. In the initial stages of the disease, plaque is easily removed. As the disease progresses, the films become denser, are difficult to separate, and when removed, the bleeding mucous membrane is exposed.
With candidal stomatitis, the tongue may be affected, which is manifested by redness of the back of the tongue, the appearance of plaque and desquamation of the epithelium. These symptoms are accompanied by severe pain in the affected area when talking, eating, and palpating the tongue.
Smokers, more often than other types of CSOPR, develop chronic hyperplastic candidiasis, accompanied by the formation of white, merging plaques that rise above the surface of the hyperemic mucosa.
With this pathology, the consistency of saliva changes: it becomes viscous and foaming; there is an unpleasant odor from the mouth, a gray or white coating on the mucous membrane. In 10-40% of cases, this clinical form of candidiasis becomes malignant (i.e., becomes malignant).
Older people most often develop a chronic atrophic form of oral candidiasis. The mucous membrane turns red and swells. The lesion is often localized under dentures, which causes pain.
Candidal cheilitis and candidiasis of the corners of the mouth mainly occur in children and the elderly. The lesion is usually bilateral, with the formation of red, painful cracks in the corners of the mouth, covered with an easily removable white coating or scales. With a long course of the disease, a bacterial infection may occur.
Diagnosis of candidiasis
The diagnostic search algorithm for candidiasis of any localization includes taking material from the affected area, followed by microscopy and culture to determine the type of fungus and its sensitivity to antimycotic (antifungal) drugs.
In order to diagnose conditions that lead to a decrease in immunity, a general blood test is used;
Prevention
There are a number of preventive measures to prevent the development of fungus in the oral cavity, these include:
- regular visits to the dentist, at least 2 times a year;
- taking medications that strengthen the immune system and following a healthy, nutritious diet;
- compliance with the rules of oral hygiene - cleansing plaque with toothpaste and rinses 2 times a day;
- quitting smoking and alcohol;
- minimal consumption of foods high in sugar and yeast, these include baked goods and other bakery, confectionery products, beer, etc.
Preventive measures
After recovery, it is important to take care of preventing relapses. To do this, you need to maintain oral hygiene, brush your teeth at least twice a day with a brush and paste, use special floss to clean the interdental spaces and rinse your mouth with water every time after eating. These are basic rules, the observance of which will significantly reduce the risk of recurrence of candidiasis symptoms. Also, do not forget to renew your toothbrush every 4 months and visit your dentist every six months for preventive examinations. In order to maintain the body's immune strength, doctors advise taking vitamin complexes from time to time, eating more vegetables and fruits, leading a more active lifestyle, and also spending more time in the fresh air.
- Statistics from WHO - World Health Organization.
In children
In infancy, oral mycosis is usually caused by Oidium albicans and is called thrush. Small children under one year old require special attention, because fungus in the mouth and other mucous membranes of babies can occur as a result of:
- breastfeeding or passing through the birth canal of an infected mother;
- violation of hygiene standards - use of unsterile utensils, things, household items, etc.;
- sexual contact, for example, oral sex;
- excessive consumption of sugars, for example, during artificial feeding.
Despite the fact that thrush in children tends to return, it is easier to tolerate than in adults and can be treated, in more rare cases it can provoke a fungus on the tonsils in a child, enter the body along with food during swallowing and provoke intestinal dysbiosis .
Diet for fungus in the mouth
Antifungal Diet
- Efficacy: no data
- Terms: 3-6 months
- Cost of products: 1500-1600 rubles. in Week
In addition to complex antifungal treatment, patients are strongly recommended to follow a strict diet consisting of foods without vinegar, sugar, yeast and alcohol. in vitamins and strengthening the immune system is also recommended The menu should include bananas, onions, garlic, asparagus, chicory, olive oil, seafood, legumes, and buckwheat.