[Treatment and Prevention of Oral Candidiasis in Elderly Patients]

Med Mycol J. 2017;58(2):J43-J49. doi: 10.3314/mmj.17.004.
[Article in Japanese]


The incidence of oral candidiasis has increased in the elderly in recent years. Although the increase of the elderly population plays a big role in this rise of oral candidiasis, the broader recognition that elderly people have higher infection rates for oral candidiasis is considered to be also an important factor. Oral candidiasis can be categorized into three types. Pseudomembranous oral candidiasis is characterized by the appearance of white moss, erythematous oral candidiasis by the eruption of erythema, and hyperplastic oral candidiasis by mucosal hyperplasia. Miconazole has been commonly used when treating oral candidiasis. Elderly patients, however, have a tendency to develop oral candidiasis repeatedly. It is therefore critical to take measures to prevent recurrence. We recommend the use an oral moisturizer containing hinokitiol, an antifungal substance, on a regular basis, to help prevent recurrence of oral candidiasis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Antifungal Agents / administration & dosage
  • Candidiasis, Oral / classification
  • Candidiasis, Oral / drug therapy*
  • Candidiasis, Oral / pathology
  • Candidiasis, Oral / prevention & control*
  • Drug Therapy, Combination
  • Female
  • Humans
  • Male
  • Miconazole / administration & dosage
  • Monoterpenes / administration & dosage
  • Recurrence
  • Secondary Prevention
  • Tropolone / administration & dosage
  • Tropolone / analogs & derivatives


  • Antifungal Agents
  • Monoterpenes
  • Tropolone
  • Miconazole
  • beta-thujaplicin