Candida infection of a persistent palatal ulcer in a 20-month-old child.
A 20 month-old infant presented with a painless, persistent lesion on the hard palate which had been present for 6 months. The lesion was aggressive in appearance, approximately 2 cm in diameter with raised, rolled edges, and there was what appeared to be granulation tissue present together with some necrotic slough in its base. It was considered to represent a traumatized area with superimposed secondary Candida infection. A direct smear of the lesion was positive for Candida. Antifungal therapy, and an attempt to avoid further irritation by advising the mother not to give the child a feeding bottle whenever possible, resulted in complete healing of the lesion. There has been no recurrence in 2 years.
Boyd
D H
DH
Department of Paediatric and Preventive Dentistry, The Queen's University of Belfast, Northern Ireland.
Gregg
T A
TA
D000935:Antifungal Agents / Q000627:therapeutic use; D001903:Bottle Feeding / Q000009:adverse effects; D002180:Candidiasis, Oral / Q000188:drug therapy / Q000209:etiology*; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007223:Infant; D009059:Mouth Diseases / Q000150:complications / Q000382:microbiology*; D009061:Mouth Mucosa / Q000293:injuries; D009894:Opportunistic Infections / Q000188:drug therapy / Q000209:etiology; D010159:Palate / Q000293:injuries*; D014456:Ulcer / Q000150:complications / Q000382:microbiology*
D000935:Antifungal Agents