Lesiones orales asociadas con VIH. Reporte de 3 casos clínicos

Saavedra, J.; Santos, Bianca Camargo dos; Vasconcellos, Ana Carolina Uchoa; Flores, Dustan Pineda; Maturana-Ramírez, Andrea

doi:10.20453/reh.v31i2.3975

Cited by 1 publication

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References 18 publications

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“…7,8 Among these, oral candidiasis, commonly referred to as "candidosis" or its older name "moniliasis", stands out as the most prevalent opportunistic fungal infection in the oral cavity of immunosuppressed individuals due to HIV/AIDS. 1,9,10 Its clinical presentation encompasses various patterns, including pseudomembranous, erythematous, hyperplastic, and angular cheilitis. Another condition, OHL, emerges as a secondary infection linked to the Epstein-Barr virus (EBV), characterized by adherent, uniform, and at times hair-like white patches on the lateral sides of the tongue.…”

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confidence: 99%

Clinical Assessment and Management in Improving the Quality of Life of HIV/AIDS Patients with Oral Candidiasis: A Case Series

Novianti,

Sufiawati

2023

HIV

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Introduction: Oral candidiasis is the most prevalent opportunistic infection in patients with human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS), impacting their quality of life. This report aims to emphasize the importance of clinical assessment and management of HIV/AIDS patients with oral candidiasis to improve their quality of life. Case: Five male patients, aged between 32 and 71 years, came to the HIV clinic and complained of white plaques in their mouths and painful swallowing. The World Health Organization's (WHO) clinical staging of all patients was 4. Three patients had not yet received antiretroviral therapy (ART), and their total lymphocyte counts (TLC) of <1.170 cells/mm 3 . Two patients had dropped out of ART with CD4 counts were <40 cells/mm 3 . The body mass index of two patients was underweight, while the others were normal. The oral hygiene index simplified (OHI-S) of the patients was fair to poor. The quality of life assessment using the oral health impact profile 14 (OHIP-14) questionnaires before therapy showed values from 6-20. Clinical examination defined the diagnosis as oral candidiasis, exfoliative cheilitis, oral hairy leukoplakia, and a cytomegalovirus-related ulcer. Case Management: The patients were treated with fluconazole, 0.2% chlorhexidine gluconate mouthwash, 2% miconazole cream, diphenhydramine, and multivitamins. The oral lesions were improved within 14 days to a month of treatment, and OHIP-14 scores were significantly reduced (0-3). Conclusion: Clinical assessment is important in managing HIV/AIDS patients with oral candidiasis, which improves the patient's quality of life. Therefore, routine clinical assessment and management of HIV/AIDS patients are strongly recommended.

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