Candidiasis Oral Pseudomembran pada Pasien dengan Riwayat Konsumsi Alkohol dan Merokok

A Case Report

Authors

  • Sanggrilla Mahadewi Putri Pratiwi Universitas Muhammadiyah Surakarta
  • Sartari Entin Yuletnawati Universitas Muhammadiyah Surakarta

DOI:

https://doi.org/10.62383/quwell.v3i1.2869

Keywords:

Alcohol, Candidiasis, Lesion, Pseudomembran, Smoking

Abstract

Oral candidiasis pseudomembranous is an infection of the oral cavity caused by microorganisms such as fungi, specifically due to the overgrowth of Candida albicans. It frequently manifests in individuals with impaired local or systemic immunity, or those with specific behavioral risk factors. Predisposing factors, such as habitual alcohol consumption and smoking, play a significant role in reducing the resilience of the oral mucosa and altering the balance of the normal oral flora. This case report aims to examine the correlation between behavioral risk factors and the development of pseudomembranous oral candidiasis. A 22-year-old male was reported to have a lesion consisting of thick, raised, whitish plaques that were non-scrapable and asymptomatic. The patient had an unhealthy lifestyle, including alcohol consumption and smoking two packs per day, along with poor oral hygiene. To confirm the suspicion of oral thrush, a potassium hydroxide (KOH) examination was performed, which revealed the presence of Candida albicans. This led to therapeutic management using Nystatin (Candistatin) and Chlorhexidine, complemented by mechanical treatment with a tongue scraper. Pseudomembranous oral candidiasis in this 22-year-old male patient is a classic example in which local behavioral risk factors and lifestyle act as the main triggers of infection.

References

Angriany, D., Susanto, H., Endah, A., & Soebadi, B. (2023). Acute pseudomembranous candidiasis accompanied with oral malignant lesions in HIV-Infected patient: Case report. Journal of Dentomaxillofacial Science, 8(2).

Bintari, N. W. D., Setyapurwanti, I., Devhy, N. L. P., Widana, A. A. O., & Prihatiningsih, D. (2020). Screening Candida albicans penyebab kandidiasis oral dan edukasi oral hygiene pada lansia di Panti Sosial Tresna Werdha Wana Seraya Bali. Jurnal Pengabdian Kesehatan, 3(1), 28–40. https://doi.org/10.31596/jpk.v3i1.65

Dewi, S. R. P., & Maulina, S. T. (2025). Oral pseudomembrane kandidiasis in nasopharynx cancer—a case report. Journal of Indonesian Dental Association, 8(1), 40–44.

El-sakhawy, M. A., El, A., Donia, R. M., Kobisi, A. N. A., Abdelbasset, W. K., Saleh, A. M., Ibrahim, A. M., & Negm, R. M. (2023). Review article oral candidiasis of tobacco smokers: A literature review. https://doi.org/10.3923/pjbs.2023.1.14

Femilian, A., Masuku, W. D. M., Ayuningtyas, N. F., Ernawati, D. S., Mahdani, F. Y., & Surboyo, M. D. C. (2022). Clinical appearance of acute pseudomembranous candidiasis in children and the importance of good communication, information and education to patients: A case report. Dent J, 55(2), 105–108.

Ghafari, K., Shoorgashti, R., Lesan, S., Rezaei, M., & Farrokhnia, T. (2024). Comparative efficacy of chlorhexidine and fluorine total mouthwashes against Candida albicans and Streptococcus sanguinis. Archives of Clinical Infectious Diseases, 19(5).

Korbecka-Paczkowska, M., & Karpiński, T. M. (2024). In vitro assessment of antifungal and antibiofilm efficacy of commercial mouthwashes against Candida albicans. Antibiotics, 13(2), 117.

Maria, M., Bar, G., & Martinez, R. M. (2023). Considerations of Nystatin roll in oral candidiasis scenario and the COVID-19 pandemic—a review. 834–845.

Palchevskyі, T. V, & Gevkaliuk, N. O. (2025). Candida albicans colonization of the mucous membrane in acute manifestations of COVID-associated oral candidiasis. Regulatory Mechanisms in Biosystems, 16(1), e25013–e25013.

Rahman, K. H., Muslimah, A. N. I., Tsurayya, N., Surboyo, M. D. C., Lukisari, C., Setianingtyas, D., & Nafi’ah, N. (2025). Management of acute pseudomembranous candidiasis in a dysphagia post-stroke and hairy tongue patient. Journal of Indonesian Oral Medicine Society, 2(3), 8–12.

Santoso, A. W., Santo, A. N. T., & Setiadhi, R. (2024). Management of coated tongue resembles pseudomembranous candidiasis in a multidrug-therapy patient. Dentino: Jurnal Kedokteran Gigi, 9(1), 57–62.

Sarhan, A. T., Mekkin, A. B., Turki, A. S., & Al-karrem, A. A. (2024). Clinical features of oral candidiasis among patients visiting the dental clinics in College of Dentistry, University of Hilla, Babylon, Iraq. International Journal of Pharmaceutical and Bio-Medical Science, 04(10), 789–793.

Shoorgashti, R., Moshiri, A., & Lesan, S. (2024). Evaluation of oral mucosal lesions in Iranian smokers and non-smokers. Nigerian Journal of Clinical Practice, 27(4), 467–474.

Supriatno, F. A. P., & Yuletnawati, S. E. (2020). The management of oral mucositis, angular cheilitis and acute pseudomembranous candidiasis induced by radiotherapy and chemotherapy treatment of nasopharyngeal cancer patient. Indian Journal of Public Health Research & Development, 11(6), 1477–1481.

Suryana, K., Suharsono, H., & Antara, I. G. P. J. (2020). Factors associated with oral candidiasis in people living with HIV/AIDS: A case-control study. HIV/AIDS-Research and Palliative Care, 33–39.

Triwardhani, L., & Dewi, S. R. P. (2020). Acute pseudomembranous candidiasis in patients with hypertension. Sriwijaya Journal of Dentistry, 1(01), 43–51.

Winias, S., Hadi, P., Prasetya, S. G., & Sinaga, A. J. Y. (2025). Management of acute pseudomembranous candidiasis with angular cheilitis in diabetic patient. Science Midwifery, 13(2), 596–604.

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Published

2026-02-14

How to Cite

Sanggrilla Mahadewi Putri Pratiwi, & Sartari Entin Yuletnawati. (2026). Candidiasis Oral Pseudomembran pada Pasien dengan Riwayat Konsumsi Alkohol dan Merokok: A Case Report. Quantum Wellness : Jurnal Ilmu Kesehatan, 3(1), 18–27. https://doi.org/10.62383/quwell.v3i1.2869