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Fluconazole Resistant Oral Candidiasis on HIV Patient - What Other Drug can We Choose? A Case Report
- Source :
- Journal of Pure and Applied Microbiology, Vol 14, Iss 1, Pp 31-36 (2020)
- Publication Year :
- 2020
- Publisher :
- Journal of Pure and Applied Microbiology, 2020.
-
Abstract
- The majority of HIV / AIDS patients have common secondary infections including of oral candidiasis. Fluconazole can be used to treat oral resistance in candidiasis. Management that can reduce risk can be minimized. However, some evidences suggest that the use of fluconazole is not effective for oral candidiasis. A 34-year-old male patient went to Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, with main complaint of discomfort and pain in the tongue. The physical examination showed a white pseudomembrane on the tongue and palate, which could be removed but left reddish and painful marks. The examination from tongue and palate swab found a colony of white Candida albicans and showed resistant to fluconazole, intermediate to ketoconazole, and sensitive to nystatin. The patient received nystatin oral suspension for three times a day as much as 5 ml (500,000 units). The pseudomembrane disappeared on day 10. The medication continued for fourteen days. No sign of recurrent found in two weeks after the treatment. The administration of nystatin can be used as an effective medication for oral candidiasis.
- Subjects :
- Drug
medicine.medical_specialty
Secondary infection
media_common.quotation_subject
Physical examination
Applied Microbiology and Biotechnology
Microbiology
Tongue
fluconazole
oral candidiasis
medicine
Candida albicans
media_common
medicine.diagnostic_test
biology
business.industry
biology.organism_classification
Dermatology
QR1-502
Nystatin
medicine.anatomical_structure
Ketoconazole
hiv/aids patient
business
Fluconazole
Biotechnology
medicine.drug
Subjects
Details
- ISSN :
- 2581690X and 09737510
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- Journal of Pure and Applied Microbiology
- Accession number :
- edsair.doi.dedup.....fe6d5174302b65cf77e59c1812c7f8a4