Candidiasis

Candidiasis is an infection caused by yeast-like fungi kind Candida, affects mainly children and old people. Saprophytic fungi in the state live on the skin and mucous surfaces healthy people found in fruits, vegetables, lactic acid products in the waters of the baths. Exogenous infection occurs through direct contact with sick or through infected objects; endogenous infection is caused by the fact that fungi are activated in healthy carriers and become pathogenic under the influence of the different reasons: for illnesses of metabolism, Hypo - and avitaminosis, tuberculosis, leukemia, and when maceration of the skin and injuries. A special place among the factors contributing to the emergence of candidiasis are broad-spectrum antibiotics, irrationally used in high doses, and corticosteroids that cause a transition fungi of saprophytic state in parasite.
Candidiasis divided into two groups: candidiasis, which affects skin and mucous membranes, and candidiasis of internal organs, which most commonly affects the respiratory organs (see Bronchoscopy, Faringomikoz), the gastrointestinal tract, urogenital system. Destruction of internal organs usually occur when generalization process in debilitated patients.
Candidiasis mucous membranes often affects the mucous membrane of the mouth - the so-called thrush. Sick children aged from six days to six weeks (sometimes up to two years), premature or weakened infectious diseases. thrushThrush begins with the appearance of the mouth (in the language, the sky, the cheeks) dotted white raids on slightly damaged mucous membrane. They gradually merge and capture all of the mucous membrane of the mouth, reminding dairy film, initially removed with difficulty. By removing raids are formed bleeding erosion. Sucking painful, child refuses to eat, crying. In severe cases, the process can be distributed on a mucous membrane of the esophagus and on hearing (Evstafieva) pipe in the middle ear, accompanied by diarrhoea disorders, depletion.
Other forms of candidiasis: checked (see), yeast cheilitis; sometimes candidiasis vagina (see Colpitis) and the urethra (see Urethritis): on damaged mucous membrane appear whitish, serous discharge, itching.
Candidiasis of the skin is most often affects the folds - intertriginoznoy form: in the interdigital folds of the hands and feet, under the Breasts, in the inguinal femoral and mezhyagodichnoy folds in axillary hollows in the background redness, there are small bubbles, which quickly opened, and erosion is formed with a bright red bottom, surrounded by overhanging skin with uneven edges, where usually find fungi.
Some foci merge together. The process can move on with wrinkles in the skin thighs, abdomen, buttocks, where there are sharply demarcated itchy red spots with irregular shape, surrounded by a corona of the epidermis, growing on the periphery. In children and obese people are formed extensive damage.
The clinical picture may be very diverse: in the localization on the chest and scalp candidiasis reminds seborrheic eczema, with the defeat of the skin of the palms and soles - dyshidrosis: appear translucent through the skin, bubbles (sagas grains), reminiscent of the athlete (see). You may experience vegetative forms of defeat, when under the cluster of crusts and scales are formed papillary expansion that more often observed in children on the face, scalp (Fig) and other Kind of Candida paronychia: nail wall swollen and inflamed, deep nail grooves formed an abscess, which when pressed allocated drop pus containing Candida. Onychia is less common: nail is covered with a point grooves and transversal grooves (see Onychomycosis).
For the diagnosis of candidiasis use laboratory tests skin flakes and nail scrapings from, separated from ulcers, cancer, spinal fluid, blood, bile, feces, urine, pieces bioperegnoy tissue.

candidiasis
Fig. 1. Common candidal lesions on the trunk. Fig. 2. Generalizovanny candidiasis. Fig. 3. Intertriginoznoy candidiasis in the folds under the Breasts; secondary rash. Fig. 4. Extensive perigenital skin lesion in disseminated candidiasis.
candidiasis
Fig. 5. Candidiasis mucous membranes of the language and the red portion of the lips. Thrush mouth and cheilitis. Fig. 6. Ackzemopodobne dermatitis rear of the foot caused by Candida. Fig. 7. Defeat by Candida nails. Fig. 8. Intertriginoznoy interdigital candidosis folds in the foot; characteristic border flaking of the epidermis at the edges of erosion.

Treatment: identification and treatment of diseases that cause candidiasis; nystatin 500 000 IU 4-7 times a day for 5 to 20 days depending on the severity, a solution of potassium iodide (10,0 : 200) for one table. L. three times a day, vitamins Century Outer: on the mucous membranes - 5-10% solution of sodium borate (Bura) glycerine, Lugol solution, aniline dyes (grease 2-3 times a day), rinse 2-5% solution of sodium bicarbonate (baking soda) or borax. For thrush child gently wipe her mouth after every three hours with a finger, wrapped up by cotton wool dipped 0.5% of warm solution of baking soda. The affected skin is treated with aniline dyes, nystatin ointment, 5-10% tar ointment, an ointment of Wilkinson. While acute inflammatory events of treatment should start lotions with potassium permanganate (1 : 10 000), and then to conduct therapy ointments. With the defeat of the hands and feet shows warm baths from a solution of potassium permanganate 1 : 10 000. If onykii and paronychia - compresses with nystatin or 10-20% pyrogallol ointment (beware - you may experience dermatitis, the unaffected skin should be protected zinc ointment); buccieri.
Prevention: the termination of contact of patients candidiasis of the skin with a healthy care institutions, at work; sanitary treatment of the disease site and disinfection of objects, used by the patient; observance of rules of personal hygiene, elimination of excessive humidity, maceration of the skin, the treatment of hyperhidrosis. Rationally to use antibiotics. To prevent yeast infection before feeding the child should wash nipples, especially when cracks, 2% baking soda solution, hygiene hands and disinfected objects that the child takes in mouth; to strengthen the child's body.