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학습 자료 둘러보기 →Oral thrush in an HIV-infected child is not a minor finding; it signals a critical transition to severe immunosuppression and a high risk for systemic dissemination.
The presence of white plaques that cannot be scraped off indicates Candida esophagitis is likely, which can lead to dysphagia, dehydration, and systemic fungal infection. Immediate antifungal therapy is required.
Do not delay treatment. While topical antifungals may be used for mild cases, extensive oral thrush in an HIV-positive child often requires systemic therapy (e.g., fluconazole) and prompts evaluation for other AIDS-defining illnesses.
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