Candidal stomatitis
ICD-10 B38.0 is a billable code used to indicate a diagnosis of candidal stomatitis.
Candidal stomatitis, commonly known as oral thrush, is a fungal infection of the oral cavity caused by the overgrowth of Candida species, primarily Candida albicans. This condition is characterized by white patches on the tongue, inner cheeks, gums, and sometimes the roof of the mouth. Patients may experience discomfort, difficulty swallowing, and a cottony feeling in the mouth. Candidal stomatitis is particularly prevalent in immunocompromised individuals, such as those with HIV/AIDS, diabetes, or those undergoing chemotherapy. The infection can also occur in healthy individuals, especially in cases of poor oral hygiene, use of corticosteroids, or prolonged antibiotic therapy, which disrupts the normal oral flora. Diagnosis is typically made through clinical examination and may be confirmed by culture or microscopic examination of the lesions. Treatment usually involves antifungal medications, such as nystatin or fluconazole, and addressing any underlying conditions that may contribute to the infection. Proper oral hygiene and regular dental check-ups are essential for prevention.
Detailed clinical notes on oral examination findings, treatment plans, and patient education.
Patients presenting with oral lesions, difficulty swallowing, or complaints of oral discomfort.
Documentation should include any relevant medical history, especially immunocompromised conditions.
Comprehensive patient history, including immunocompromised status and previous infections.
Patients with recurrent candidal infections or those undergoing immunosuppressive therapy.
Consideration of systemic antifungal therapy and monitoring for treatment efficacy.
Used when evaluating a patient with candidal stomatitis.
Document history, examination findings, and treatment plan.
Dentists and infectious disease specialists should ensure thorough documentation.
Common treatments include topical antifungals like nystatin and systemic antifungals such as fluconazole, especially in immunocompromised patients.
