Hapid M Hasan, Dewi Tenny Setiani
Oral Medicine Department, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia.
Int Med Case Rep J. 2023 May 18;16:303-310. doi: 10.2147/IMCRJ.S407597. eCollection 2023.
INTRODUCTION: Oral candidiasis is an oral mucosal infection caused by sp. This infection can appear in patients with HIV/AIDS associated with immunodeficiency. Another factor that can aggravate the occurrence of oral candidiasis is the COVID-19 infection caused by the SARS-CoV-2 virus as a current pandemic condition. This case report aims to explain the mechanism of COVID-19 infection as a factor that can aggravate the condition of oral candidiasis in HIV/AIDS patients. CASE: A 56-year-old male patient was consulted from the COVID-19 isolation unit to the Department of Oral Medicine with complaints of sore and uncomfortable mouth related to white plaque covering the surface of the tongue. The patient was diagnosed with HIV/AIDS and had a COVID-19 infection. The management instructions were to maintain oral hygiene, administration of antifungal drugs such as nystatin oral suspension and fluconazole, chlorhexidine gluconate 0.2% mouthwash, and vaseline album. DISCUSSION: Generally, HIV/AIDS patient has dysregulation of the immune system which can suppress host immunity to fight pathogens, making it easy for opportunistic infections such as oral candidiasis. The COVID-19 infection can cause lymphopenia conditions that further reduce the host's ability to fight pathogens. The SARS-CoV-2 virus can also directly attack various tissues in the oral mucosa which can contribute to exacerbating the severity of oral candidiasis in HIV/AIDS patients. CONCLUSION: The COVID-19 infection is a factor that can exacerbate the condition of oral candidiasis in HIV/AIDS patients by further decreasing the host's immunity and damaging various tissues in the oral mucosa.
引言:口腔念珠菌病是由念珠菌属引起的口腔黏膜感染。这种感染可出现在与免疫缺陷相关的艾滋病毒/艾滋病患者中。另一个可加重口腔念珠菌病发生的因素是由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒引起的2019冠状病毒病(COVID-19)感染,这是当前的大流行疾病。本病例报告旨在解释COVID-19感染作为加重艾滋病毒/艾滋病患者口腔念珠菌病病情的一个因素的机制。 病例:一名56岁男性患者从COVID-19隔离病房被转诊至口腔医学科,主诉口腔疼痛且不适,舌面有白色斑块。该患者被诊断为艾滋病毒/艾滋病且感染了COVID-19。处理指示为保持口腔卫生,给予抗真菌药物如制霉菌素口服混悬液和氟康唑、0.2%葡萄糖酸氯己定漱口水以及凡士林。 讨论:一般来说,艾滋病毒/艾滋病患者存在免疫系统失调,可抑制宿主抵抗病原体的免疫力,从而容易发生如口腔念珠菌病等机会性感染。COVID-19感染可导致淋巴细胞减少,进一步降低宿主抵抗病原体的能力。SARS-CoV-2病毒还可直接攻击口腔黏膜中的各种组织,这可能导致艾滋病毒/艾滋病患者口腔念珠菌病的严重程度加剧。 结论:COVID-19感染是一个可通过进一步降低宿主免疫力和损害口腔黏膜中的各种组织来加重艾滋病毒/艾滋病患者口腔念珠菌病病情的因素。
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