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November 21, 2009
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Thrush and Other Yeast Infections in Children

Medical Author: David Perlstein, MD, FAAP
Medical Editor: William C. Shiel Jr., MD, FACP, FACR

What are yeast infections?

What are commonly known as "yeast" infections are caused by various species of a yeast-like fungus called Candida, particularly the species Candida albicans. Yeast organisms are part of the germs (including bacteria) that are normally found on various parts of the body and which ordinarily cause no symptoms.

Why do yeast sometimes cause symptoms?

Certain conditions, such as antibiotic use, may upset the balance of microbes in the body and allow an overgrowth of Candida. Yeast also can thrive in chronically moist folds of skin, such as in the groin.

Yeast infections may flare up and then heal in most people; however, in newborns or individuals with impaired immune systems, yeast can cause more serious or chronic infections.

How do babies get yeast infections?

Many infants acquire Candida infections from their mothers during the process of birth. Yeast exists naturally in the mother's vagina. When the child is delivered through the birth canal, the baby comes in contact with the yeast.

Many babies that escape this infection at birth soon acquire Candida from close contacts with other family members.

What is oral thrush? What are symptoms of oral thrush?

Thrush is yeast infection of the mouth and throat. Thrush can also be associated with yeast infection of the esophagus. Thrush appears as creamy white, curd-like patches on the tongue and inside of the mouth and back of the throat. As mentioned above, in individuals with impaired immune systems, yeast infections are more common. For example, in a non-infant population, thrush may be a sign of underlying HIV infection.



Next: How do children (and adults) acquire thrush? »

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Thrush and Other Yeast Infections in Children

What causes thrush?

Small amounts of the candida fungus are present in the mouth, digestive tract, and skin of most healthy people and are normally kept in check by other bacteria and microorganisms in the body. However, certain illnesses, stress, or medications can disturb the delicate balance, causing the fungus candida to grow out of control, causing infection.

Medications that upset the balance of microorganisms in the mouth and may cause thrush include corticosteroids, antibiotics, and birth control pills. Illnesses or medical situations that make candida infection more likely to develop include uncontrolled diabetes, HIV infection, cancer, dry mouth, or pregnancy (caused by the hormonal changes that occur with pregnancy). People who smoke or wear dentures that don't fit properly also are at increased risk for thrush. In addition, babies can pass the infection to their mothers during breast-feeding.

What are the symptoms o...

Read the Thrush article »



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