It is an infection of the mucosa of the mouth produced by a fungus called Candida albicans. It is a very common pathology in nursing infant, although it may be contracted throughout childhood.
The typical symptom is a thick, white layer covering the tongue, and sometimes, the palate and the inner surface of the cheeks. The thrush has a cottony, compact aspect, as if it were yogurt or curdled milk.
In nursing infants, it may be similar to the remains of digested or regurgitated milk, which does not yield when trying to remove it with a water-soaked gauze.
The diagnosis is usually reached through clinical suspicion due to the symptoms and the examination of the child's mouth.
Treatment is based on antifungal treatments in the form of gel or oral cream. It generally is a benign situation which quickly improves 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.
