Candidiasis (Mucocutaneous)

(Moniliasis)

The candidiasis (moniliasis) is a skin infection with Candida sp., Usually Candida albicans. The infections can occur anywhere, mainly on skin folds, “digital web spaces”, the Genitalian, the cuticle and the oral mucosa. Symptoms and signs depend on the location. The diagnosis is made based on the clinical picture and the potassium-native specimen. Treatment is with drying agents and antifungal agents.

Most Candida infections affect the skin and mucous membranes, and the invasive candidiasis occurs preferably in immunocompromised patients and can be life threatening. Systemic candidiasis is discussed under fungi. Vulvovaginal candidiasis is discussed elsewhere under Candida vaginitis.

The candidiasis (moniliasis) is a skin infection with Candida sp., Usually Candida albicans. The infections can occur anywhere, mainly on skin folds, “digital web spaces”, the Genitalian, the cuticle and the oral mucosa. Symptoms and signs depend on the location. The diagnosis is made based on the clinical picture and the potassium-native specimen. Treatment is with drying agents and antifungal agents. Most Candida infections affect the skin and mucous membranes, and the invasive candidiasis occurs preferably in immunocompromised patients and can be life threatening. Systemic candidiasis is discussed under fungi. Vulvovaginal candidiasis is discussed elsewhere under Candida vaginitis. Candida etiology refers to a group of about 150 yeast species. C. albicans is responsible for about 70-80% of all Candida infections. Other clinically relevant species include. a. C. glabrata, C. tropicalis, C. krusei, and C. dubliniensis. Candida is a ubiquitous yeast that lives as a harmless commensal on skin and mucous membranes, creating a favorable environment to moisture, heat, and impaired local and systemic defenses so that they can grow. Risk factors for candidiasis Hot weather Restrictive clothing belong Poor hygiene Irregular changing diapers or underwear in children and elderly patients Altered flora by treatment with antibiotics Inflammatory diseases (eg., Psoriasis) that occur in skin folds immunosuppression caused by corticosteroids and immunosuppressants, pregnancy, diabetes, other endocrinopathies (z. B. Cushing’s disease, hypoadrenalism, hypothyroidism), blood diseases, or T cell defects the candidosis in intertriginous usually occurs as axillary, inguinal and Glutealfalten (z. B. diaper rash ) and in the finger and toe interstices, on the glans and under the breasts. Women often have a vulvovaginal candidiasis occurs. After unprofessional manicure as well as kitchen staff and others whose hands have constant contact with water, nail infections can be caused by Candida and paronychia (onychomycosis). In obese humans infections can be caused by Candida under the pannus (belly crease). The oropharyngeal candidiasis is a common finding in local or systemic immunosuppression. Chronic mucocutaneous candidiasis typically affects nails, skin and oropharynx. The patients have cutaneous Candida, -Anergie, no proliferative response to the Candida antigen (but a normal proliferative response to mitogens), but an intact antibody response to Candida and other antigens. Chronic mucocutaneous candidiasis can together with a Hypoparathyreoidose and Addison’s disease occurs as an autosomal recessive disease (Candida endocrinopathy syndrome). Symptoms and complaints The intertriginous infections manifest themselves with itchy, well demarcated erythematous patches of various shapes and sizes. In dark-skinned patients, the erythema is often difficult to detect. The primary spots often have adjacent Satellitenpapeln and -pusteln. The perianal candidiasis leads to maceration white and anal itching. The vulvovaginal candidiasis by itching and vaginal discharge accompanied (Candida vaginitis). Vulvovaginal candidiasis Image courtesy of Susan Lindsley on Public Health Image Library of the Centers for Disease Control and Prevention. var model = {thumbnailUrl: ‘/-/media/manual/professional/images/15679-vulvovaginal-candidiasis-public-health-image-library-high_de.jpg?la=de&thn=0&mw=350’ imageUrl: ‘/ – /media/manual/professional/images/15679-vulvovaginal-candidiasis-public-health-image-library-high_de.jpg?la=de&thn=0 ‘, title:’ Vulvovaginal candidiasis ‘description:’ u003Ca id = ” v37894701 “class = ” anchor “” u003e u003c / a u003e u003cdiv class = “” para “” u003e u003cp u003eCharakteristische findings in vulvovaginal candidiasis include edema and erythema. Note here the purulent discharge on the right labia minora u003c / p u003e u003c / div u003e ‘credits’.. Image courtesy of Susan Lindsley on Public Health Image Library of the Centers for Disease Control and Prevention’

Health Life Media Team

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