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KMID : 0829220170410020079
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Korean Journal of Oral and Maxillofacial Pathology
2017 Volume.41 No. 2 p.79 ~ p.89
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Antifungal Therapy in Patient with Oral Candidiasis
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Kim Hae-Yong
Kang Jae-Kook
Im Yeong-Gwan
Kim Byung-Gook
Kim Hye-Eun
Cho Hye-Joung
Qioachu Sun
Ahn Kyu-Hyeon
Shuhan Shi
Kim Ok-Joon
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Abstract
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The aim of this study was to examine the effects and the sensitivity of antifungal therapy for patients with oral candidiasis and to investigate the relationship among the signs & symptoms of patients and the ratio change of Candida species to antifungal therapy. Candida fungus culture test with ChromeIDTM Candida agar (CAN2) was carried out more than twice for 10 patients who visited Oral Medicine department of Chonnam National University Dental Hospital during the period from Dec. 2015 to Aug. 2016. After culturing the smear sample before and after antifungal therapy in ChromeIDTM Candida agar (CAN2), the number of colonies was counted to compare. Patients were divided into 5 group according to the therapeutic effects of the antifungal agents used: 1) high susceptibility to nystatin, 2) low susceptibility to nystatin, 3) high susceptibility to fluzonazole, 4) low susceptibility to fluzonazole, and 5) increased ratio of new Candida species. Although nystatin is used as first-line therapy in oral candidiasis, it is desirable to use fluconazole if patients had a history of the low sensitivity to nystatin or chemotherapy. Even if the patient's symptoms and signs are improved, there is a possibility of oral candidiasis recurring, so that clinicians should be careful during the treatment with antifungal agents.
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KEYWORD
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Antifungal therapy, Oral candidiasis, Smear
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