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Case 1: Oral Candidiasis

You answered:

B The diagnosis of oral candidiasis is likely inaccurate considering the patient does not have any visible white patches or white plaques.

This answer is incorrect. The patient has erythematous (atrophic) candidiasis and this form of candidiasis occurs frequently in HIV-infected persons. The absence of white patches or white plaques does not rule out oral candidiasis.

Choose another answer:

A The patient likely has the erythematous (atrophic) form of oral candidiasis and fluconazole (Diflucan) would be an appropriate option for therapy.
C If the patient has oral candidiasis, itraconazole (Sporanox) tablets would be more effective than itraconazole solution (assuming the same dose of the two preparations is used).
D If the patient has oral candidiasis, clotrimazole (Mycelex) troches would clearly provide a more effective clinical response than fluconazole (Diflucan) and clotrimazole would have a lower rate of return of symptoms.

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