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Case 1: Oral Candidiasis

You answered:

C If the patient has oral candidiasis, itraconazole (Sporonox) tablets would be more effective than itraconazole solution (assuming the same dose of the two preparations is used).

This answer is incorrect. Available data suggest that itraconazole solution achieves higher serum levels, while also providing topical coverage, and is clinically more effective than itraconazole tablets.

A The patient likely has the erythematous (atrophic) form of oral candidiasis and this is a CDC category B condition as defined by the CDC classification system.
B The diagnosis of oral candidiasis is likely inaccurate considering the patient does not have any visible white patches or white plaques.
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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