By Gary M. White, MD


The term thrush or pseudomembranous Candidiasis refers to candidal infection of the mouth. Infants and adults with a weakened immune system (e.g. by HIV, diabetes, age) are typically affected.


One sees a whitish, cottage cheese, plaque that is easily scraped away. Underneath, the mucosa is reddened and inflamed.


For infants, nystatin suspension painted on the lesions (e.g. 1 cc) QID x 7 days is usually sufficient. If the baby is breastfeeding, the same suspension may also be applied to mom's nipples several times a day. For adults and older children, clotrimazole troches dissolved in the mouth 5/day is effective. A single dose of fluconazole 150 mg is effective. It is also therapeutic if there is an associated candida esophagitis . The iron level (e.g. ferritin) should be measured.

Additional Pictures




Homepage | FAQs | Use of Images | Contact Dr. White

It is not the intention of to provide specific medical advice, diagnosis or treatment. only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.