My letter to Cathy, but thought I would share it with ya'll.
I was not sick nor had I been ill.
Crystal Stearns RNC, MS, IBCLC
Mercy Memorial Health Center
Ardmore, OK 73401
> -----Original Message-----
> From: Stearns, Crystal
> Sent: Friday, June 04, 1999 5:28 PM
> To: 'Cathy Bargar'
> Subject: RE: oral thrush in adults?
>
> Hi,
> I though I would respond to this, since during the winter I had oral
> thrush (had a positive oral yeast culture). Like you the only patients I
> had ever worked with that had oral yeast were AIDS patients. I nearly
> fell off the exam table when the doctor informed me. I immediately had
> all kinds of lab test as well as an AIDS test and all were find. I had no
> other symptoms, except my husband had also had a very sore angry looking
> mouth and throat two weeks before (we say two different doctors). My
> husband suffers from severe jock itch and athletes foot. My doctor was
> unable to give me a good reason why two healthy, not immune suppressed
> adults would get oral yeast. Had I not washed my hands well after working
> with a baby with yeast, had my husband transferred yeast to his mouth,
> from another part of his body,and then to me. We will never know, but
> healthy adults can also get oral yeast.
>
> Crystal Stearns RNC, MS, IBCLC
> Mercy Memorial Health Center
> Ardmore, OK 73401
>
> -----Original Message-----
> From: Cathy Bargar [SMTP:[log in to unmask]]
> Sent: Friday, June 04, 1999 2:47 PM
> Subject: oral thrush in adults?
>
> I'd put my money on strep throat or a viral infection, esp. if she's had
> any
> fever with the sore throat. Yes, adults can have yeast infection in the
> throat - but the only situations where I've encountered it is with cancer
> patients on chemotherapy, or AIDS patients. Immunosuppression creates the
> necessary conditions - otherwise, it's kept in check by the body's normal
> defenses. When I've looked in the throats of these patients (I used to
> work
> for an oncologist, and on the hospital unit where chemo was administered &
> CA pts. were cared for), most commonly what I've seen is an angry red
> throat, more like what you see on baby's bottoms when they have thrush
> that
> causes diaper-rash. In these pts., it seems to be absolutely excruciating,
> often the most painful and miserable aspect of their illness, often making
> it impossible for them to take anything by mouth - causes huge problems
> with
> their nutritional status. The treatment? Same as for babies (oral Nystatin
> "swish & swallow"), often combined with an oral "numbing" medication, like
> a
> 'caine or even cocaine spray.
>
> But I've never seen it in any other kind of adult - one of the symptoms of
> Chronic Fatigue Syndrome is chronic or long-term sore throat that resists
> treatment, and CFS is linked to immunosupression, so...But unless there's
> other stuff going on with this woman's overall health, I'd bet on strep or
> virus!
>
> Cathy Bargar, RN, IBCLC Ithaca NY
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