36454190 Ascariasis and Candidiasis

8/8/2019 36454190 Ascariasis and Candidiasis

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PREVENTIONß Improved sanitation and

h ygienic practicesß Improved nutrition

ß Deworming may be advised



CANDIDIASIS

(MONILIASIS/CANDIDOSIS)Is a mild superficial fungal infectioncaused be genus candida

Infects t h e nails (onyc h omycosis), t h eskin (diaper ras h ), mucous

membrane, particularly th

eorop h arynx (t h rus h ), vagina(monillasis), esop h agus, and t h e GIT



INFECTIOUS AGENTCA N DIDA ALBICA N S 1. Th ese organism are part of t h e normal flora of t h e GIT,

mout h , vagina, skin2. Th ey cause infection w h en;a. Th ere is rise in glucose as in DMb . Th e person s resistance is lowered especially w h en due tocancerc. Th e person is taking an immunosuppresive drug, exposed

to radiation, aging or w h en infected wit h HI V

d . Th e level of estrogen rises in pregnant womene. Th ese organism are introduced systemically by I V orurinary cat h eters, drug abuse, h yperlimentation, or

surgery f . B road-expectrum antibiotics are used, as t h ese depress

flora and allow candida microbes to proliferate



SIGNS AND SYMPTOMSScaly skinN ails are red and swollenO rop h aryngeal mucosa (t h rus h )Patient feels retrosternal pain and regurgitation V aginal mucosa w h ite or yellow disc h arge wit h pruritusand local excoriation; w h ite or gray patc h es on vaginal walls wit h local inflammationR enal system fever, f lank pain, dysuria, h ematuria,pyuriaPulmonary h emoptysis, fever, coug h

B rain h eadac h e, nuc h al rigidity, seizuresEndocardium - systolic or diastolic murmur, fever, c h estpaineyes blurred vision, orbital or periorbital pain





DIAGNOSTIC TESTStool culture

Gram staining of skin, vaginal disc h arge or scraping



TREATMENT PREVENTION

N ystatin, for oralth rus h

Clitrimasole,fluconasole,ketoconasole, formucous membraneand vaginalinfectionF luconasole oramp h oteric for

systemic infection

Ch eck h igh riskpatient daily forpatc h y areas of irritation, soreth roat, and gumbleedingCh eck vaginaldisch arge and noteth e color, odor, andamount

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36454190 Ascariasis and Candidiasis