Post-COVID-19 candidiasis of the tongue in an 18-year old male

S. Swain, P. Jena
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Abstract

Fungal infection in the oral cavity is considered a marker of immunosuppression in certain chronic conditions such as cancer patients on immunosuppression medications and human immunodeficiency virus infections. Currently, coronavirus disease-2019 (COVID-19) pandemic is causing immunocompromised conditions of patients and inviting superadded infections such as local Candida infections such as oral candidiasis and invasive fungal infections. The role of opportunistic fungal infections in the morbidity and mortality of COVID-19 infections remains less established. Overuse of antibiotics for the treatment of COVID-19 infections is also thought to hamper normal flora in the oral cavity which is also an important risk factor for aggravating opportunistic fungal infection in the body. Here, an 18-year-old immunocompetent male presented with a white patch on the dorsal surface of the tongue, which developed 1 week after relieved from COVID-19 infection. The microbiological test of the whitish patch over the tongue confirmed candidiasis.
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18岁男性患2019冠状病毒病后舌头念珠菌病
口腔真菌感染被认为是某些慢性疾病(如使用免疫抑制药物的癌症患者和人类免疫缺陷病毒感染)免疫抑制的标志。目前,冠状病毒病-2019 (COVID-19)大流行正在导致患者免疫功能低下,并引发额外感染,如口腔念珠菌病等局部念珠菌感染和侵袭性真菌感染。机会性真菌感染在COVID-19感染的发病率和死亡率中的作用尚未确定。过度使用抗生素治疗COVID-19感染也被认为会妨碍口腔内的正常菌群,这也是加重体内机会性真菌感染的一个重要危险因素。这是一名18岁的免疫正常男性,在COVID-19感染缓解1周后,舌头背表面出现白色斑块。舌头上的白色斑的微生物测试证实是念珠菌病。
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