IADR Abstract Archives
Acute Pseudomembranous Candidiasis Accompanied with Oral Malignant Lesions in HIV-Infected Patient: A Case Report
Objectives: Oral candidiasis is the most opportunistic infection in HIV/AIDS patient. Neoplasms may also frequently be found in the oral cavity of HIV/AIDS patient and may indicate the progression of HIV infection. A 56-year-old male driver came to Oral Medicine Clinic of Dental Hospital Airlangga University complaint of tightness in the chest since two months ago with difficulty in eating and swallowing. Various medication was used to relieve the complaints but there were no improvements. He claimed a weight loss of 10 kg in the last three months and history of a scalp surgery several years ago due to a car accident. Physical examination showed pale and weakness. Intraorally, diffuse pseudomembranous was found throughout the oral cavity to pharynx, and an exophytic mass with red color at the palate area extending to oropharynx. Direct mycology test for oral lesions, complete blood count examination and HIV rapid test were conducted. Topical antifungal (Nystatin) was prescribed for the therapy after direct mycology test result was positive for Candida albicans, a reactive anti-HIV examination with immunochromatography confirmed the patients was HIV and referral to head and neck oncology surgery clinic in Dr. Soetomo hospital for the enlargement of the palate. Unfortunately, the patients passed away after second visit.
Methods: Based on the subjective and clinical examination, patient was HIV seropositive which suspected suffering acute pseudomembranous candidiasis accompanied with oral malignant lesions which suspected as Kaposi sarcoma. Due to the late management of the oral candidiasis and oral malignant lesion, may result in poor prognosis for the treatment of the patient.
Results: "Clinical case, not applicable"
Conclusions: "Clinical case, not applicable"
Methods: Based on the subjective and clinical examination, patient was HIV seropositive which suspected suffering acute pseudomembranous candidiasis accompanied with oral malignant lesions which suspected as Kaposi sarcoma. Due to the late management of the oral candidiasis and oral malignant lesion, may result in poor prognosis for the treatment of the patient.
Results: "Clinical case, not applicable"
Conclusions: "Clinical case, not applicable"