Oral Candidiasis Management in a Child with Pacifier Sucking Habit: A Case Report

Authors

  • Nuraeni Hartati Universitas Gadjah Mada
  • Anrizandy Narwidina Universitas Gadjah Mada
  • Sri Kuswandari Universitas Gadjah Mada

DOI:

https://doi.org/10.35790/eg.v12i1.49271

Abstract

Abstract: Oral candidiasis is a widely known mucosal fungal infection caused by an overgrowth of Candida species. Children and infants are highly more susceptible to Candida infection than adults. We report an oral candidiasis case in a 5-year-old girl with white spots on her lips and tongue. When the white spots were scrapped off, they would be detached leaving red patches on the mucosal surfaces. The patient had pacifier sucking habit and tended to place the pacifier everywhere carelessly. Previously, the patient was treated at a primary healthcare center and received nystatin therapy. However, there was no improvement at all after the therapy. Based on her current and historical conditions, the patient was diagnosed as oral candidiasis, and in this case nystatin administration was ineffective. Therefore, the patient required better oral hygiene management, and the medication given was a gargle containing 0.1% hyaluronic acid. A week after using the gargle without using pacifier anymore, white spots had disappeared, and oral hygiene had improved. Re-control was conducted one month after the first visit and no Candida infection was detected. In conclusion, gargle containing 0.1% hyaluronic acid associated with better dental and oral hygiene is effective to treat oral candidiasis in children.

Keywords: oral candidiasis; children; pacifier sucking habit; gargle containing 0.1% hyaluronic acid

Author Biographies

Nuraeni Hartati, Universitas Gadjah Mada

Pediatric Dentistry, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia

Anrizandy Narwidina, Universitas Gadjah Mada

Pediatric Dentistry, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia

Department of Biomedical Dental Science, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia

Sri Kuswandari, Universitas Gadjah Mada

Department of Biomedical Dental Science, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia

References

Wahyuningsih R, Adawiyah R, Sjam R, Prihartono J, Wulandari ATE, Rozaliyani A, et al. Serious fungal disease incidence and prevalence in Indonesia. Mycoses. 2021;64(10):1203-12. Doi: 10.1111/myc.13304. Epub 2021 Jun 25. PMID: 33971053.

Bertolini M, Dongari-Bagtzoglou A. The relationship of Candida albicans with the oral bacterial microbiome in health and disease. Adv Exp Med Biol. 2019;1197:69-78. Doi: 10.1007/978-3-030-28524-1_6.

Uygun CB, Kadir T, Gumru B. Effect of oral antiseptic agents on phospholipase and proteinase enzymes of Candida albicans. Arch Oral Biol. 2016;32:20-27.i: Available from: https://doi.org/10.1016/ j.archoralbio.2015.11.006.

Kadir T, Can B, Uygun B, Akyu ̈z S. Prevalence of Candida species in Turkish children: relationship betweendietary intake and carriage. Arch Oral Biol. 2005;50(1):33-7. Doi:10.1016/j.archoralbio. 2004.07.004

Pappas PG, Kauffman CA, Andes DR, Clark CJ, Marr KA, Ostrosky-Zeichner L, et al. Clinical practice guideline for the management of candidiasis: 2016 update by the Infectious Diseases Society of Americaexternal icon. Clin Infect Dis. 2016;62(4):e1-50. Doi: 10.1093/cid/civ933.

Benvenuto AF. Kandidiasis lokal dan sistemik pada anak. Jurnal Kedokteran Fakultas Kesehatan Universitas Islam Al-Azhar Mataram. 2016;1(2):128-38. Available from: https://e-journal. unizar.ac.id/index.php/kedokteran/article/view/593

Vila T, Sultan AS, Montelongo JD, Jabra RM. Oral candidiasis: a disease of opportunity. Journal of Fungi [Internet]. 2020;6(1):15. Available from: http://dx.doi.org/10.3390/jof6010015.

Kang JH, KimYY, Chang JY, Kho HS. Influence of hyaluronic acid on anticandidal activities of lysozyme and the peroxidase system. Oral Dis. 2011;17(6):577-53. Doi:10.1111/j.1601-0825.2011.01807.x.

Sakai A, Akifusa S, Itano N, Kimata K, Kawamura T, Koseki T, et al. Potential role of high molecular weight hyaluronan in the anti-Candida activity of human oral epithelial cells. Medical Mycology. 2007;45(1):73-79. Available from: https://doi.org/10.1080/13693780601039607.

Singh A, Verma R, Murari A, Agrawal A. Oral candidiasis: an overview. J Oral Maxillofac Pathol. 2014;18(Suppl 1):S81-5. Doi: 10.4103/0973-029X.141325.

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Published

2023-09-27

How to Cite

Hartati, N., Narwidina, A., & Kuswandari, S. (2023). Oral Candidiasis Management in a Child with Pacifier Sucking Habit: A Case Report. E-GiGi, 12(1), 132–136. https://doi.org/10.35790/eg.v12i1.49271

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Articles