Infection of the mucosa of the mouth produced by a fungus called Candida albicans.
The most common causes of fungal growth include: antibiotic treatment that destroys bacterial flora, alteration of the immune system and/or ill-fitting dentures.
It manifests as a thick whitish coating that covers the tongue, and sometimes also the palate and inner cheeks. It has a cottony, compact appearance, like yoghurt or cut milk.
Diagnosis is usually made on clinical suspicion and by inspection of the mouth.
Treatment is based on antifungal drugs in gel, oral cream and/or tablet form.
It is usually a banal condition that improves rapidly with appropriate treatment.
- Pappas PG, Kauffman CA, Andes DR, et al. Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America. Clin Infect Dis 2016; 62:e1.
- Klotz SA. Oropharyngeal candidiasis: a new treatment option. Clin Infect Dis 2006; 42:1187.
- Vazquez JA, Patton LL, Epstein JB, et al. Randomized, comparative, double-blind, double-dummy, multicenter trial of miconazole buccal tablet and clotrimazole troches for the treatment of oropharyngeal candidiasis: study of miconazole Lauriad® efficacy and safety (SMiLES). HIV Clin Trials 2010; 11:186.
- Iacopino AM, Wathen WF. Oral candidal infection and denture stomatitis: a comprehensive review. J Am Dent Assoc 1992; 123:46.
- Sharon V, Fazel N. Oral candidiasis and angular cheilitis. Dermatol Ther 2010; 23:230.

