Treating Oral Fungal Infection

 

Dangers of Oral Fungal InfectionThe appearance of non-candidal oral fungal infections should be concerning, as the majority of these are caused by existing paranasal fungal infections (Scully, 2017b). 

 

By the time these infections are noticed in the oral cavity, it is likely that significant damage has already occurred in other tissues. This requires the use of systemic antifungals such as fluconazole or ketoconazole. 

 

Typically, following the identification of a non-candidal oral fungal infection, the patient should be referred to a physician or specialist, as surgical debridement may be required, and the integrity of the bone surrounding the nasal chambers will need to be evaluated.

 

  • Treatment of Fungal Infections

 

An alternative, aggressive treatment for deep fungal infections in the oral chamber and surrounding tissue is amphotericin B which can be used in conjunction with flucytosine and rifampin for infections that do not respond to amphotericin B alone. 

 

This course of treatment is especially useful in patients with life-threatening infections (Scully, 2017b; Wynn, 2016). 

 

This treatment is typically continued up to 12 weeks after the fungi are no longer detectable by culture tests.

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