Oral mucosal fungal infections

被引:144
作者
Samaranayake, Lakshman P.
Leung, W. Keung
Jin, Lijian
机构
关键词
HUMAN-IMMUNODEFICIENCY-VIRUS; SOUTH-AMERICAN BLASTOMYCOSIS; PENICILLIUM-MARNEFFEI INFECTION; LINEAR GINGIVAL ERYTHEMA; HIV-POSITIVE PATIENTS; ANTIFUNGAL AGENTS; CANDIDA-ALBICANS; UNITED-STATES; RHINOCEREBRAL MUCORMYCOSIS; HEMATOLOGIC MALIGNANCIES;
D O I
10.1111/j.1600-0757.2008.00291.x
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
This review has provided an overview of variants of oral mucosal candidiasis and current therapeutic techniques followed by an outline of the rare oral mycoses and their management. The advent of the HIV infection and the increasing prevalence of compromised individuals in the community as a consequence of surgical and medical advances have resulted in a resurgence of opportunistic infections, including oral candidiasis and other rare mycoses that were once considered exotic. It is now recognized that oral candidiasis may present in many clinical guises, including the classic white lesion of thrush as well in as nondescript, red mucosal lesions that may confound the unwary clinician. Other mycotic diseases, such as aspergillosis, cryptococcosis, histoplasmosis and mucormycosis, may manifest intra-orally, both as primary lesions and as secondary manifestations of systemic disease. Periodontal manifestations of mycotic diseases are rare. If at all, such lesions may present as erythematous areas as in linear gingival erythema and rarely as ulcerations in exotic mycoses. Most of the oral mycoses respond well to either topical or systemic therapy with the polyenes or azoles. In general, the management of oral fungal infections has been revolutionized by the triazole group of drugs, fluconazole and itraconazole, although recent reports indicate an alarming increase of resistant organisms, in particular to fluconazole. © 2009 Blackwell Munksgaard.
引用
收藏
页码:39 / 59
页数:21
相关论文
共 136 条
[21]  
BUDTZJORGENSEN E, 1990, CANDIDA ASSOCIATED D, P156
[22]   TORULOSIS - A REVIEW OF THE CUTANEOUS AND ADJOINING MUCOUS MEMBRANE MANIFESTATIONS [J].
CAWLEY, EP ;
GREKIN, RH ;
CURTIS, AC .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1950, 14 (05) :327-344
[23]  
CAWSON RA, 1994, DEEP MYCOSES
[24]   ORAL COMPLICATIONS ASSOCIATED WITH ASPERGILLOSIS IN PATIENTS WITH A HEMATOLOGIC MALIGNANCY - PRESENTATION AND TREATMENT [J].
CHAMBERS, MS ;
LYZAK, WA ;
MARTIN, JW ;
LYZAK, JS ;
TOTH, BB .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 1995, 79 (05) :559-563
[25]  
Coogan MM, 2005, B WORLD HEALTH ORGAN, V83, P700
[26]  
CRUICKSHANK G, 1977, J AM DENT ASSOC, V95, P1164, DOI 10.14219/jada.archive.1977.0184
[27]   PUTATIVE VIRULENCE FACTORS OF CANDIDA-ALBICANS [J].
CUTLER, JE .
ANNUAL REVIEW OF MICROBIOLOGY, 1991, 45 :187-218
[28]  
de Almeida O P, 1991, Curr Opin Dent, V1, P423
[29]   ORAL MANIFESTATIONS OF PARACOCCIDIOIDOMYCOSIS (SOUTH-AMERICAN BLASTOMYCOSIS) [J].
DEALMEIDA, OP ;
JORGE, J ;
SCULLY, C ;
BOZZO, L .
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS, 1991, 72 (04) :430-435
[30]  
DENG ZL, 1988, REV INFECT DIS, V10, P640