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Case 1: Oral Candidiasis

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A The patient likely has the erythematous (atrophic) form of oral candidiasis and fluconazole would be an appropriate option for therapy.

This answer is correct. Oral candidiasis in HIV-infected patients most often presents as either pseudomembranous candidiasis (thrush) or atrophic (erythematous) candidiasis; some patients will present with a combination of the two types. This patient’s clinical presentation and examination is most consistent with the erythematous form of candidiasis. Patients with erythematous candidiasis typically have alterations in taste sensation and they frequently complain of a burning discomfort that is most evident when eating acidic or spicy foods. Oral fluconazole is an appropriate and common therapy used to treat oral candidiasis in HIV-infected patients.


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