Fungal Infections of Oral Cavity: Diagnosis, Management, and Association with COVID-19

SN Compr Clin Med. 2021;3(6):1373-1384. doi: 10.1007/s42399-021-00873-9. Epub 2021 Mar 27.

Abstract

The frequency of fungal infections is increasing due to immunodeficiency viruses and immunosuppressive drugs. The most common fungal infection of the oral cavity is candidiasis. The existence of Candida can be a part of normal commensal; hence, the isolation of Candida in the absence of clinical symptoms should exclude candidiasis. The pathogenicity of Candida is witnessed as opportunistic when immune status is compromised. Oral fungal infections are uncommon, but when identified, these infections are associated with greater discomfort and are sometimes destruction of tissues. Cytology and tissue biopsy are helpful in confirming the clinical diagnosis. The management of oral fungal infections must strategically focus on signs, symptoms, and culture reports. This article reviews information on diagnosis and therapeutic management of aspergillosis, cryptococcosis, histoplasmosis, blastomycosis, mucormycosis, and geotrichosis.

Keywords: Candidiasis; Deep fungal infection; Fungal; Infection; Oral mycosis.

Publication types

  • Review