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Måndag 18 oktober

Svampinfektioner - Torsk

Svampinfektion i munslemhinnan med beläggningar, sår och fläckar.
Tillväxt av den normalt förekommande jästsvampen Candida albicans. Detta sker ofta efter antibiotikabehandling liksom efter användning av kortisonpreparat som sprayas in i munnen. Även relativt vanligt hos patienter som regelbundet använder kortisonpreparat i form av spray/inhalatorer via munnen - exempelvis vid astmabehandling. Ses också hos äldre patienter, patienter med tandprotes och patienter som får cellgifter eller strålbehandling. Vanlig infektion hos AIDS-patienter och spädbarn.

Symtom

Sveda och obehag samt beläggningar på tunga och insidan av kinden.
Akut: Vita fläckar på en ilsket röd slemhinna.
Kronisk: Vita spräckliga beläggningar, framför allt på slemhinnan mot kinden och dessutom kraftig beläggning på tungan.

Behandling

Skölj munnen med vatten efter behandling med kortisonsprayer eller motsvarande.
Antibiotika mot svampinfektioner t ex nystatin.
Hjälper inte denna behandling görs odling på tungavskrap. Eventuellt behandlas patienten med fluconazoltabletter. 

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