HEALTH WATCH
Thrush (oral candidiasis)
by Dr. Elliot Neufeld
and Gary Avis
Thrush is a very common infection in HIV-infected people, affecting up to 90 percent. It is characterized by either white patches (often described as looking like cottage cheese), reddish blotches, or a plaque-like growth in the mouth and upper throat. Although there may be no other symptoms, some people may also experience a change in taste, a sore throat, or a redness of the tongue.
Thrush is caused by a yeast-like fungi, Candida albicans, which is normally present in healthy adults, but rarely will develop into thrush unless the immune system has been compromised. Although it is much more common in HIV-infected people with CD4 counts under 200, it is not unusual for it to be present in people whose counts are greater than 500.
This is important mainly for two reasons: 1. Thrush is often the first sign of infection in HIV-infected people.
2. If the thrush spreads to the esophagus,
it is then considered to be an AIDS defining infection.
Several treatments for thrush are effective and available. The one that is prescribed by your doctor is usually based on the severity of the infection, the use of other medications and the potential side effects. The treatments currently used are:
1. Clotrimazole (Mycelex) troches. Troches are essentially oral lozenges.
2. Nystatin (Mycostatin). This medication is given in oral suspension (a syrup-like substance).
3. Ketoconazole (Nizoral). Note: this medication cannot be taken with Seldane. 4. Fluconazole (Diflucan).
The first two are considered topical (that is, applied to the specific area affected). The second two are considered to be systemic treatments (they affect or treat the entire body). If you have questions or would like further information, consult your doctor.
Akron Area Therapy
James L. Helmuth, Ph.D. Psychologist Eric Helmuth, M.A., L.S.W. Therapist
•Chemical Dependency Depression, Anxiety Attitudinal Healing
3725 S. Cleve-Mass. Rd. Norton, Ohio (Akron)
Gay, Lesbian, Bi Issues ●HIV+ & Caregivers Support ●Individual and Couples
825-0133
Most Insurance Accepted Medicare and Medicaid
OCTOBER 29, 1993
GAY PEOPLE'S CHRONICLE
7
EXTRA EXTRA!
S
NEWS FLASH
Help Deliver the
Gay People's Chronicle!
We need people to deliver the Gay People's Chronicle in Columbus and surrounding areas. If you have an insured vehicle, and five or six hours to spare every other Friday afternoon, call Chuck Riddle at 614/481-9618.
SINGLE AGAIN?
Get Back in to The Swing of Things by Answering Your Favorite
G.P.C. Voice Personals!!
1-900-370-7566
$1.99/min Will appear on your phone bill as GPC Publishing. Must be 18 or older.