Which clinical history findings are characteristic of thrush?

Updated: Jan 17, 2019
  • Author: Mudra Kumar, MD, MRCP, FAAP; Chief Editor: Russell W Steele, MD  more...
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Parents of children with thrush usually notice a white coating in the child's mouth.

Infants may have trouble feeding in severe cases.

Medical history may include the following:

  • Recent antibiotic or steroid use may suggest a predisposing cause.

A study found that the adverse effects of antibiotics such as amoxicillin were underreported as treatment with amoxicillin or amoxicillin-clavulanic acid commonly results in candidiasis. The study concluded that clinicians need information about both harms and benefits when prescribing antibiotics. [2, 3]

  • Diarrhea, rashes, failure to thrive, hepatosplenomegaly, or repeated infections suggest an underlying immunodeficiency. [4]

Maternal history may include the following:

  • Vaginal candidiasis is a source of perinatal exposure to infection.

  • HIV status may provide a clue to a predisposing factor.

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