Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
  Breaking News: FDA Approves Triumeq, New Once-Daily Combination Pill
   
Ask the Experts About

Oral Health and HIVOral Health and HIV
           
Rollover images to visit our other forums!
  
  • Email Email
  • Glossary Glossary


Relation thrush-cd4
Dec 19, 2000

You answered a question December/12 saying that having thrush does not necessarily mean you have low cd4. I have 800 (tests just a week ago) and I have slight thrush on my tongue (never happened before), does not seem to progress any further but it has been diagnosed by test. Took Diflucan, Mycostatin and others and is not going away. I smoke a lot, could it be that?. My doctor has told me to stop all products and just use bicarbonate (sorry spelling mistakes-foreign). What can I do for it to go away, and do you not think is a sign that something is happening with my inmune system?. Also could it be due to taking Hydrea (hydroxurea), because it seems clear that Hydrea produces sores in mouth and slight white spots in nails. Thank you very much.

Response from Dr. Reznik

The organism that leads to thrush is most cases is Candida albicans, which happens to be a commensal organism. In other words, the fact that your primary care provider was able to culture out "yeast" or Candida is not unusual as the majority of people with or without HIV-infection will be culture positive. Another interesting point you mention is the spectrum of antifungals you have been on without success. Diflucan is a very effective systemic antifungal agent that should easily be able to overcome a minor bout of candidiasis. My conclusion: you probably do not have thrush.

What you have described sounds very much like coated tongue which is simply an overgrowth of the normal tongue papillae which then in turn serves as a trap for bacteria. Smoking is a definitive risk factor for the development of coated tongue. Treatment for this condition would be to gently brush your tongue every time you brush your teeth.

Hope this helps!

DR


Previous
How long to wait to get tested?
Next
leukoplakia symptomatic of seroconversion?

  
  • Email Email
  • Glossary Glossary


 
 
Advertisement




Q&A TERMS OF USE

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement