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14 Cards in this Set

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Predisposing factors
abx tx, steroid tx, very young/old, immunocompromise
Resistant strains
fluconazole-resistant C. albicans
HIV stats

*relapse expected?
50% with HIV
80-95% with AIDS (esophageal in 10-15%)

*Yes
Bone transplant association %
30-40%
AIDS-defining sites
esophagus, trachea, bronchi, or lungs
AKAs:
Psuedomembranous
Erythematous
Leukoplakia
Angular cheilitis
thrush
atrophic
hyperplastic
angular cheilitis
PE:
Thrush
Atrophic
Leukoplakia
Angular cheilitis
White/creamy plaques on mucosa; bleed with removal
Smooth, red, atrophic patches
White plaques that can't be wiped off
Erythema, fissuring at corners of mouth
Distrubution:
Thrush
Atrophic
Leukoplakia
Dorsum tongue, buccal mucosa, hard/soft palate, pharynx-->esophagus and trachobronchial tree
Hard/soft palate, buccal mucosa, dorsal tongue
Buccal mucosa, tongue, hard palate
Invasive associations
Prolonged neutropenia
Hematogenous dissemination to skin/visera
Prolonged cathing
DDX:
Thrush
Oral hairy leukoplakia, condyloma accuminata, geographic tongue, hairy tongue, lichen planus, bite irritation
DDX:
Atrophic
Lichen planus
Topical tx
Nystatin
Clotrimazole
Oral tx
Fluconazole
Itrazonazole
Ketokonazole
Fluconazole-resistant tx
50% resistant to itraconazole
Ampho B if sever
Liposomal preps
Maintenance therapy