Candidiasis: An Overview of the Yeast Infection
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Candidiasis |
Candidiasis, commonly known as a yeast infection, is a
fungal infection caused by species of Candida, typically Candida albicans.
Candida are yeasts that commonly live on and in human bodies, particularly in
moist areas of the body such as the mouth, gut, and genitals, without causing
infection. However, sometimes they can multiply and cause irritation and
infection. Candidiasis is one of the most common types of fungal infection that
affects both women and men. In this article, we will discuss candidiasis in
detail covering its causes, symptoms, diagnosis and treatment.
Candidiasis can develop when there is an overgrowth of Candida in the body.
Several factors can increase the risk of developing candidiasis by promoting
the overgrowth of candida:
- Antibiotics: Use of broad-spectrum antibiotics significantly reduces the
'good' bacteria that normally keep Candida in check in the body. This allows
Candida to multiply.
- Medical conditions: Medical conditions that compromise the immune system like
diabetes, HIV/AIDS increase the risk of candidiasis. Cancers and their
treatments like chemotherapy also lower immunity.
- Hormonal factors: Changes in hormones, like during pregnancy or menstrual
periods increase the risk in women. Birth control pills and estrogen therapy
also increase susceptibility.
- Warm, moist areas: Areas like the mouth, throat, genitals, under the breasts
are warm and moist—ideal conditions for Candida to thrive.
- Poor hygiene: Not changing out of wet clothing, poor genital hygiene
encourages overgrowth.
- Other factors: Stress, obesity, smoking can indirectly increase candida
overgrowth. Candidiasis is also more likely to recur once a person has had an
initial bout.
Symptoms of Candidiasis
The symptoms of candidiasis vary depending on the part of the body affected but
some common indications include:
- Oral thrush (candidiasis of mouth): White patches or coating on tongue or
inner cheeks and gums that can't be scraped, soreness.
- Esophageal candidiasis (throat): Difficulty swallowing, chest pain, vomiting.
- Vulvovaginal candidiasis (in women): Thick, white discharge, intense itching,
redness and swelling of the vulva and vagina. Irritation or pain during sexual
intercourse.
- Candidal balanitis (in men): Itching, irritation or swelling of the head of
penis.
- Cutaneous candidiasis (skin): Red, itchy rashes in skin folds, under the
breasts. Cracks in the skin.
- Systemic candidiasis: Fever in addition to above symptoms which suggest the
infection has spread through the bloodstream in immunocompromised individuals.
Diagnosis and Testing for Candidiasis
Since the symptoms of candidiasis can be similar to some other infections,
proper diagnosis is necessary for appropriate treatment. Some of the tests
typically used are:
- Physical examination and medical history: Examining the infected area,
checking risk factors through medical history.
-potassium hydroxide (KOH) preparation: Scraping a sample from affected area,
dissolving in KOH produces a distinctive odor and appearance under the
microscope.
-Culture: Samples taken and cultured in the laboratory help isolate and
identify the species of Candida. Especially useful for non-albicans Candida.
-Biopsy: Useful for severe or persistent cutaneous infections to rule out other
skin conditions. Tissue sample examined under the microscope.
-Blood tests: In systemic candidiasis, blood tests rule out other infections
and check immunity through cell counts.
Treatment Options for Candidiasis
Most candidiasis responds well to antifungal medications applied topically or
taken orally depending on the site and severity of infection:
- Oral antifungal medication: Azoles like fluconazole, itraconazole taken as
capsule or liquid especially useful for digestive or systemic candidiasis.
-Topical antifungals: Creams/ointments containing miconazole, clotrimazole
apply directly to affected areas like skin, mouth are effective.
-Natural yoghurt: As a probiotic, applied topically helps restore balance of
bacteria and fight candida.
-Good hygiene: Keeping skin dry, changing clothes and proper genital hygiene
prevents recurrence.
-Lifestyle changes: Reducing stress, managing diabetes/other conditions,
quitting smoking strengthens immunity.
Persistent or recurrent candidiasis may require longer treatment periods,
higher doses or alternate antifungal drugs. Intravenous antifungal medications
for severe systemic infections in intensive care. Surgery is rarely required.
Prevention through control of risk factors is highly recommended.
Conclusion
In conclusion, candidiasis is a common fungal infection that occurs due to
overgrowth of Candida yeasts in the body. With advances in medical care, more
and more people have factors increasing their risk. Prompt diagnosis and
appropriate treatment according to site and severity of infection ensures
complete cure. Following preventive measures helps avoid recurrence of this
troublesome infection.
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