Oral Candidiasis and Cryptococcosis in Elderly with Intracerebral Hemorrhagic Stroke in Intensive Care Unit: A Case Report
Abstract
ABSTRACT
Introduction: Intracerebral haemorrhage patients are susceptible to developing an oral infection due to the hospitalised intervention. The systemic disease and degree of consciousness also supported the development of oral infection, especially fungal. Case: This case presented an elderly female with an intracerebral haemorrhage stroke. The oral lesion was developed as a pseudo membrane during five days of endotracheal tube intubation. The direct examination showed Candida colonies and Cryptococcus laurentii. Conclusion: Oral hygiene maintenance, including topical antiseptic and anti-fungal, can improve oral health and prevent Candidemia.
Keywords: oral health care; fungal infection, elderly, sepsis
References
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2. Jang EJ, Kim EK, Lee KS, Lee HK, Choi YH, Hwang TY, et al. Oral health related quality of life and it’s related factors of stroke patients at home in Korea. Archives of Gerontology and Geriatrics. 2015;61(3):523–8.
3. Kim EK, Jang SH, Choi YH, Lee KS, Kim YJ, Kim SH, et al. Effect of an oral hygienic care program for stroke patients in the intensive care unit. Yonsei Medical Journal. 2014;55(1):240–6.
4. Kothari M, Pillai RS, Kothari SF, Spin-Neto R, Kumar A, Nielsen JF. Oral health status in patients with acquired brain injury: a systematic review. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2017;123(2):205-219.e7.
5. Kollef MH. Prevention of hospital-associated pneumonia and ventilator-associated pneumonia. Critical Care Medicine. 2004;32(6):1396–405.
6. Sischo L, Broder HL. Oral health-related quality of life: What, why, how, and future implications. Journal of Dental Research. 2011;90(11):1264–70.
7. Vila T, Sultan AS, Montelongo-Jauregui D, Jabra-Rizk MA. Oral candidiasis: A disease of opportunity. Journal of Fungi. 2020;6(1):1–28.
8. Molina-Leyva A, Ruiz-Carrascosa JC, Leyva-Garcia A, Husein-Elahmed H. Cutaneous Cryptococcus laurentii infection in an immunocompetent child. International Journal of Infectious Diseases. 2013;17(12):e1232–3.
9. Somayaji S, Gadahad MR, Lakshminarayana S. Antimicrobial efficacy of chlorine dioxide against Candida albicans in stationary and starvation phases in human root canal: An in-vitro study . Sahel Medical Journal. 2014;17(1):1.
10. Zand F, Zahed L, Mansouri P, Dehghanrad F, Bahrani M, Ghorbani M. The effects of oral rinse with 0.2% and 2% chlorhexidine on oropharyngeal colonization and ventilator associated pneumonia in adults’ intensive care units. Journal of Critical Care. 2017;40:318–22.
11. Patel S, Navas M, Batt C, Jump RLP. Oral Cryptococcosis in a Patient with Chronic Lymphocytic Leukemia. International Journal of Infectious Diseases [Internet]. 2016 Sep;50:18–20. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1201971216311158
12. Reyes AJ, Ramcharan K, Aboh S, Giddings SL. Primary oral cryptococcosis in an HIV-positive woman with suppressed viral load and normal CD4 count: a rare case. BMJ Case Rep [Internet]. 2021 Jun 4;14(6):e242633. Available from: https://casereports.bmj.com/lookup/doi/10.1136/bcr-2021-242633
13. Mitha M, Naicker P, Mahida P. Disseminated Cryptococcosis in an HIV-negative patient in South Africa: the elusive differential diagnosis. The Journal of Infection in Developing Countries [Internet]. 2010 May 4;4(08):526–9. Available from: https://jidc.org/index.php/journal/article/view/20818106
14. Hassoun A, Mehrotra N. Disseminated cryptococcosis in HIV negative patient. BMJ Case Rep [Internet]. 2018 May 12;2018:bcr-2017-223500. Available from: https://casereports.bmj.com/lookup/doi/10.1136/bcr-2017-223500
15. Worrall DM, Lerner DK, Naunheim MR, Woo P. Laryngeal Cryptococcosis: An Evolving Rare Clinical Entity. Annals of Otology, Rhinology & Laryngology [Internet]. 2019 May 24;128(5):472–9. Available from: http://journals.sagepub.com/doi/10.1177/0003489419826131
16. Poojary S, Khatu S. Disseminated cryptococcosis in a diabetic patient. Cutis [Internet]. 2014 Aug;94(2):91–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25184644
Published
2024-11-13
How to Cite
RAHMAN, Kurnia Hayati et al.
Oral Candidiasis and Cryptococcosis in Elderly with Intracerebral Hemorrhagic Stroke in Intensive Care Unit: A Case Report.
Journal of Indonesian Oral Medicine Society, [S.l.], v. 2, n. 2, p. 14-18, nov. 2024.
ISSN 3026-6688.
Available at: <http://jurnal.pdgi.or.id/index.php/jioms/article/view/1253>. Date accessed: 21 dec. 2024.
doi: https://doi.org/10.32793/jioms.v2i2.1253.
Section
Case Reports
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
