HIV Management Guidelines

HIV Management Guidelines

HIV-infectious Disease & Cancer

Management > HIV-infectious Disease & Cancer > Candida infections

Candida infections

Clinical presentation 

Oral candidiasis is the most common presentation of candida infection, presenting as white, exudative, plaques on the tongue, and oral mucosa. It can also   present   as   the   erythematous/atrophic   erythematous   form without white plaques which is often missed. (92) Other presentations include angular cheilitis with erythema and white scale, and chronic hyperplastic candidiasis with discrete leukoplakia.  

Cutaneous candidiasis may develop in intertriginous sites, and presents as erythematous plaques with peripheral pustules. (93) Recurrent vulvovaginal candidiasis (VVC) may occur more frequently in HIV. (94) Symptoms of VVC may include pruritus, superficial dyspareunia and dysuria. The vulval component presents as  erythema with papulopustules, and the vaginal infection is associated with white discharge, and erythematous plaques on the vaginal walls. 

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