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Figure. This infant presented with the classic presentation of oral candidiasis. White plaques were visible on the mucosal surfaces of the dorsal tongue and hard palate.

A one-month-old infant was referred to the Pediatric Dental Clinic at Howard University College of Dentistry to confirm the diagnosis of oral candidiasis. The infant was examined following proper barrier techniques. The classic presentation of white plaques was visible on the mucosal surfaces of the dorsal tongue and hard palate (Figure). The clinician determined that the clinical appearance was sufficient to make the diagnosis, and a determination was made not to attempt to wipe off the white plaque as this may have caused discomfort for the infant.
The mother reported that she was breast-feeding her infant. The mother noted no subjective reports of mammary pain. The mother was directed to return to her physician for evaluation of a possible diagnosis and therapy regarding a likely candidial dermatologic breast infection. The mother was also counseled to utilize several pacifiers and to treat them in a water and bleach solution between uses. Also, the mother was cautioned to rinse the pacifier thoroughly in water after removing it from the bleach solution.
The infant was referred back to the pediatrician with a recommendation for the initiation of anti-candida therapy.