[{"data":1,"prerenderedAt":342},["ShallowReactive",2],{"content-route-/en/symptoms-conditions/oral-thrush":3},{"state":4,"owner":4,"route":5,"locale":6,"template":7,"content":19,"projection":132,"alternates":333},"target","/en/symptoms-conditions/oral-thrush","en-US",{"kind":8,"family":9,"sectionKeys":10},"condition","guidance",[11,12,13,14,15,16,17,18],"definition","stages","diagnosis-states","differentials","options","expected-course","recurrence","evidence",{"kind":8,"title":20,"description":21,"firstPublished":22,"evidenceAsOf":22,"lastUpdated":22,"changeNote":23,"firstLayer":24,"stageRoutes":54,"differentials":57,"relations":68,"body":75},"Oral thrush — what mouth changes mean and what to do next","Learn which mouth changes can fit oral thrush, why appearance alone cannot confirm it, and when a first episode, recurrence, swallowing problem, or higher-risk context needs assessment.","2026-07-15","Complete initial draft based on the Pathway C observable-problems, serious-or-urgent, and US authority packs.",{"question":25,"answer":26,"keyPoints":27,"confidence":31,"applicability":34,"nextSteps":41},"Do white patches, redness, soreness, altered taste, a cotton-like feeling, or cracks at the corners of the mouth mean oral thrush?","These findings can fit oral thrush, but they do not confirm Candida as the cause. A new, unexplained, persistent, or recurring mouth change should be examined; pain or difficulty swallowing and weakened immunity change how quickly assessment is needed.",[28,29,30],"Mouth appearance and symptoms overlap with other causes, so diagnosis is usually based on oral examination and sometimes microscopy of a sample.","Oral thrush is uncommon in otherwise healthy adults; an unexplained adult episode calls for confirmation and review of local, medication, metabolic, and immune context without implying one underlying diagnosis.","A newborn feeding problem, weakened immunity with thrush-like changes or swallowing symptoms, or an infection that is worsening has its own care route.",{"summary":32,"rationale":33},"Strong confidence in the examination and risk-context advice; the cause and treatment for an individual mouth change cannot be determined from this page.","Current CDC guidance, the global candidiasis guideline, NIH guidance for immunocompromised adolescents and adults, and US care authorities agree on overlapping findings, examination, relevant risk modifiers, and reassessment after persistence or worsening.",{"appliesTo":35,"excludes":38},[36,37],"Infants, children, and adults in the United States with new, unexplained, persistent, or recurring white or red mouth changes, soreness, altered taste, a cotton-like feeling, or cracks at the mouth corners.","Adults wondering whether an unexplained thrush-like episode should prompt review of antibiotics, inhaled corticosteroids, dentures, dry mouth, smoking, diabetes, or immune impairment.",[39,40],"People who cannot breathe or have another immediate medical emergency, who should use emergency care rather than this orientation page.","People seeking an individualized drug choice or a diagnosis from a photograph; site, severity, age, underlying conditions, examination, and sometimes testing change that decision.",[42,46,50],{"label":43,"action":44,"route":45},"Arrange an examination","For an unexamined white or red mouth change, soreness, or recurrence, arrange assessment with a healthcare provider or dentist instead of diagnosing the cause from appearance or repeating treatment.","/en/start-here/symptoms-now",{"label":47,"action":48,"route":49},"Use the higher-risk route","Contact the treating healthcare team promptly for thrush-like changes or pain or difficulty swallowing with HIV, chemotherapy, immune-suppressing treatment, or another weakened-immune-system context.","/en/symptoms-conditions/serious-fungal-infections",{"label":51,"action":52,"route":53},"Check urgent thresholds","Use the urgent-help route for worsening infection or an immediate medical emergency; do not use a fungal label to explain away deterioration.","/en/urgent-help",{"firstTime":45,"recurring":55,"treatmentFailed":56},"/en/start-here/recurring","/en/start-here/treatment-did-not-work",[58,62,65],{"label":59,"discriminator":60,"route":61},"Another infection or inflammatory mouth problem","Other infections and non-Candida causes can produce similar white, red, or sore mouth findings; appearance alone cannot separate them.","/en/symptoms-conditions",{"label":63,"discriminator":64,"route":45},"A persistent or non-removable oral lesion","A lesion that does not fit the removable thrush-like pattern or persists needs an oral examination and a different diagnostic pathway rather than repeated presumed-thrush treatment.",{"label":66,"discriminator":67,"route":49},"Esophageal candidiasis or another swallowing problem","Pain or difficulty swallowing can occur with esophageal candidiasis, especially with immune impairment, but it is not Candida-specific and requires clinical assessment.",[69,72],{"group":70,"route":61,"label":71},"parent","Symptoms & conditions",{"group":73,"route":53,"label":74},"safety","Urgent help",{"type":76,"value":77,"toc":128},"minimark",[78,86,92,98,104,110,116,122],[79,80,82],"content-section",{"section-key":11,"title":81},"What oral thrush is—and is not",[83,84,85],"p",{},"Oral thrush is candidiasis of the mouth or throat. White patches, redness, soreness, altered taste, a cotton-like feeling, or cracks at the mouth corners can fit it, but these observable findings do not establish Candida as the cause. Diagnosis is usually made by examining the mouth and can include microscopy of a sample when confirmation is needed. A photograph, previous episode, diabetes, or weakened immunity can change the context but cannot diagnose the lesion.",[79,87,89],{"section-key":12,"title":88},"First episode, recurrence, or treatment that did not work",[83,90,91],{},"A first unexplained mouth change starts with examination. A recurring episode is not automatically the same diagnosis, especially when the earlier cause was not confirmed. Findings that persist, return, spread, change, or worsen during or after treatment reopen the diagnosis, exposure and host context, adherence, treatment, and adverse-effect review; they do not by themselves prove resistance or invasive disease.",[79,93,95],{"section-key":13,"title":94},"Keep the diagnosis state clear",[83,96,97],{},"Clinically diagnosed oral thrush, an unresolved mouth change, and a change self-attributed to Candida are different states. Examination—and sometimes a sample—separates a compatible pattern from a confirmed condition. In an otherwise healthy adult, a new or unexplained thrush-like episode also warrants review of relevant local, medication, metabolic, and immune factors, but does not prove HIV, diabetes, cancer, or another single cause.",[79,99,101],{"section-key":14,"title":100},"What else needs consideration",[83,102,103],{},"Other infections and inflammatory oral problems can resemble thrush. A persistent or non-removable lesion needs its own diagnostic pathway rather than repeated presumed-thrush treatment. Pain or difficulty swallowing can occur with esophageal candidiasis, particularly with immune impairment, but also has non-Candida causes and cannot establish that diagnosis from symptoms alone.",[79,105,107],{"section-key":15,"title":106},"Choose the next assessment route",[83,108,109],{},"For a stable, unexamined mouth change, arrange an oral examination with a healthcare provider or dentist. A newborn with white mouth sores, mouth redness, unusual fussiness, or refusal to nurse—or a breastfeeding parent with deep-pink cracked sore nipples or pain during and after nursing—needs both people described to the child's healthcare provider so each affected person can be assessed. Thrush-like changes or swallowing symptoms with weakened immunity call for prompt contact with the treating healthcare team. Treatment selection is outside this page because it depends on the confirmed site, severity, age, underlying conditions, medicines, and prior response.",[79,111,113],{"section-key":16,"title":112},"Expected course and reassessment",[83,114,115],{},"No one recovery deadline applies across all ages, treatments, and host contexts. Persistent or recurrent findings after an adequate diagnosis-directed course call for reassessment rather than automatic repetition or escalation. A known or suspected infection that is not improving or is worsening needs immediate medical care under the US authority route; use emergency care for immediate danger.",[79,117,119],{"section-key":17,"title":118},"When mouth changes return",[83,120,121],{},"Recurrence changes the next decision from recognizing a familiar pattern to checking whether the diagnosis was correct, what exposures or host factors changed, whether treatment was completed, and whether a resistant or non-albicans Candida question is relevant. It does not prove that Candida remained present between episodes or that the same treatment should be repeated.",[79,123,125],{"section-key":18,"title":124},"Evidence and sources",[83,126,127],{},"This draft traces each orientation, risk-context, swallowing, persistence, and worsening statement to canonical claims and current authorities. Pathway C deliberately has no fixed V1 oral-thrush evidence map or selected research summary, so the page makes no treatment body-of-evidence verdict and links directly to its sources instead.",{"title":129,"searchDepth":130,"depth":130,"links":131},"",2,[],{"sources":133,"claims":194,"safety":282},[134,142,146,150,154,162,169,175,183,189],{"sourceId":135,"title":136,"canonicalId":137,"canonicalUrl":138,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},"cdc-candidiasis-basics-2024","Candidiasis Basics",null,"https://www.cdc.gov/candidiasis/about/index.html","US Centers for Disease Control and Prevention","regulator","2024-04-24",{"sourceId":143,"title":144,"canonicalId":137,"canonicalUrl":145,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},"cdc-candidiasis-symptoms-2024","Symptoms of Candidiasis","https://www.cdc.gov/candidiasis/signs-symptoms/index.html",{"sourceId":147,"title":148,"canonicalId":137,"canonicalUrl":149,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},"cdc-candidiasis-testing-2024","Testing and Diagnosis for Candidiasis","https://www.cdc.gov/candidiasis/testing/index.html",{"sourceId":151,"title":152,"canonicalId":137,"canonicalUrl":153,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},"cdc-candidiasis-risk-factors-2024","Risk Factors for Candidiasis","https://www.cdc.gov/candidiasis/risk-factors/index.html",{"sourceId":155,"title":156,"canonicalId":157,"canonicalUrl":158,"publisher":159,"sourceType":160,"publicationDate":161,"lastChecked":22},"global-candidiasis-guideline-2025","Global guideline for the diagnosis and management of candidiasis: an initiative of the ECMM in cooperation with ISHAM and ASM","doi:10.1016/S1473-3099(24)00749-7","https://doi.org/10.1016/S1473-3099(24)00749-7","European Confederation of Medical Mycology, International Society for Human and Animal Mycology, and American Society for Microbiology","guideline","2025-05-01",{"sourceId":163,"title":164,"canonicalId":165,"canonicalUrl":166,"publisher":167,"sourceType":160,"publicationDate":168,"lastChecked":22},"idsa-candidiasis-guideline-2016","Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America","DOI:10.1093/cid/civ933","https://www.idsociety.org/practice-guideline/candidiasis/","Infectious Diseases Society of America","2016-02-15",{"sourceId":170,"title":171,"canonicalId":137,"canonicalUrl":172,"publisher":173,"sourceType":160,"publicationDate":174,"lastChecked":22},"nih-hiv-mucocutaneous-candidiasis-2026","Candidiasis (Mucocutaneous): Adult and Adolescent Opportunistic Infections Guidelines","https://clinicalinfo.hiv.gov/en/guidelines/hiv-clinical-guidelines-adult-and-adolescent-opportunistic-infections/candidiasis","US Department of Health and Human Services Panel on Guidelines for the Prevention and Treatment of Opportunistic Infections in Adults and Adolescents With HIV","2024-09-16",{"sourceId":176,"title":177,"canonicalId":178,"canonicalUrl":179,"publisher":180,"sourceType":181,"publicationDate":182,"lastChecked":22},"medlineplus-thrush-children-adults-2025","Thrush - children and adults","MedlinePlus Medical Encyclopedia 000626","https://medlineplus.gov/ency/article/000626.htm","U.S. National Library of Medicine","other","2025-08-05",{"sourceId":184,"title":185,"canonicalId":186,"canonicalUrl":187,"publisher":180,"sourceType":181,"publicationDate":188,"lastChecked":22},"medlineplus-newborn-thrush-2025","Thrush in newborns","MedlinePlus Medical Encyclopedia 007615","https://medlineplus.gov/ency/article/007615.htm","2025-10-07",{"sourceId":190,"title":191,"canonicalId":137,"canonicalUrl":192,"publisher":139,"sourceType":140,"publicationDate":193,"lastChecked":22},"cdc-sepsis-2026","About Sepsis","https://www.cdc.gov/sepsis/about/index.html","2026-03-23",[195,210,221,233,246,258,270],{"claimId":196,"exactClaim":197,"outcome":198,"population":199,"verdict":200,"evidenceLevel":201,"rationale":202,"safetyStatus":203,"evidenceAsOf":22,"lastUpdated":22,"status":204,"changeHistory":205,"sources":206},"oral-thrush-pattern-requires-exam","White oral patches, redness, soreness, altered taste, a cotton-like feeling, or cracks at the mouth corners are compatible with oral thrush but do not establish the cause; diagnosis is usually made by oral examination and can use microscopy of a sample when confirmation is needed.","accurate orientation and confirmation of suspected oropharyngeal candidiasis without treating an observable mouth change as a diagnosis","infants, children, and adults with new white, red, sore, or otherwise changed oral mucosa who are not already diagnosed with oropharyngeal candidiasis","supported","strong","CDC lists the observable mouth and throat features, explicitly notes that different infections can cause similar symptoms, and describes examination with optional microscopy. The current global guideline corroborates clinical assessment while neither source supports diagnosis from a photograph or symptom list alone.","usual-cautions","active",[],[207,208,209],{"title":144,"canonicalId":137,"canonicalUrl":145,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},{"title":148,"canonicalId":137,"canonicalUrl":149,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},{"title":156,"canonicalId":157,"canonicalUrl":158,"publisher":159,"sourceType":160,"publicationDate":161,"lastChecked":22},{"claimId":211,"exactClaim":212,"outcome":213,"population":214,"verdict":200,"evidenceLevel":201,"rationale":215,"safetyStatus":216,"evidenceAsOf":22,"lastUpdated":22,"status":204,"changeHistory":217,"sources":218},"oral-thrush-risk-context-matters","Age under one month, diabetes, HIV or other immune impairment, cancer treatment, recent antibiotics, corticosteroids including inhalers, dentures, dry mouth, and smoking are relevant modifiers when assessing suspected oral thrush; their presence changes context but does not prove Candida caused an oral lesion.","complete risk-context collection without causal inference from one modifier","infants, children, and adults being assessed for possible oral or throat candidiasis","CDC identifies these medication, host, and local oral factors and states that thrush is uncommon in healthy adults. The global guideline likewise associates mucocutaneous candidiasis with impaired immunity, uncontrolled diabetes, and oral conditions. These are group-level risk modifiers, not diagnostic likelihood scores.","elevated-risk",[],[219,220],{"title":152,"canonicalId":137,"canonicalUrl":153,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},{"title":156,"canonicalId":157,"canonicalUrl":158,"publisher":159,"sourceType":160,"publicationDate":161,"lastChecked":22},{"claimId":222,"exactClaim":223,"outcome":224,"population":225,"verdict":200,"evidenceLevel":226,"rationale":227,"safetyStatus":203,"evidenceAsOf":22,"lastUpdated":22,"status":204,"changeHistory":228,"sources":229},"oral-thrush-persistence-requires-reassessment","Persistent or recurrent oral changes after an adequate diagnosis-directed course should trigger reassessment of the diagnosis, exposure or host modifiers, adherence, and possible resistant or non-albicans Candida rather than automatic repetition or escalation of the same treatment.","reassessment after nonresponse or recurrence instead of unverified repeated treatment","people with clinically diagnosed or suspected oral thrush whose oral findings do not resolve as expected or recur after treatment","moderate","The global guideline and IDSA guideline distinguish initial from refractory or recurrent oropharyngeal candidiasis and connect refractory disease with host context and resistance. CDC states that treatment form, dose, and duration depend on site, severity, and underlying conditions. The sources support reassessment but do not define one universal self-care deadline across ages, products, and host groups.",[],[230,231,232],{"title":156,"canonicalId":157,"canonicalUrl":158,"publisher":159,"sourceType":160,"publicationDate":161,"lastChecked":22},{"title":164,"canonicalId":165,"canonicalUrl":166,"publisher":167,"sourceType":160,"publicationDate":168,"lastChecked":22},{"title":136,"canonicalId":137,"canonicalUrl":138,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},{"claimId":234,"exactClaim":235,"outcome":236,"population":237,"verdict":200,"evidenceLevel":201,"rationale":238,"safetyStatus":216,"evidenceAsOf":22,"lastUpdated":22,"status":204,"changeHistory":239,"sources":240},"oral-skin-nail-high-risk-modifiers-do-not-diagnose-cause","Diabetes and weakened immunity are important modifiers for oral, skin, foot, and nail fungal problems, including persistence and complications, but neither modifier establishes that an observed lesion is fungal or supplies an individual likelihood ranking.","recognition of higher-risk context without inferring a fungal diagnosis","children and adults with diabetes or impaired immunity and an undiagnosed oral, skin, foot, or nail change","CDC identifies diabetes and immune impairment as risk modifiers for candidiasis and ringworm, and notes greater risk of bacterial complication with fungal nail infection in these groups. The same sources recommend examination or testing because observable findings have alternatives. Exact care thresholds and local actions belong to the US and Polish authority packs.",[],[241,242],{"title":152,"canonicalId":137,"canonicalUrl":153,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},{"title":243,"canonicalId":137,"canonicalUrl":244,"publisher":139,"sourceType":140,"publicationDate":245,"lastChecked":22},"Clinical Overview of Ringworm","https://www.cdc.gov/ringworm/hcp/clinical-overview/index.html","2024-07-15",{"claimId":247,"exactClaim":248,"outcome":249,"population":250,"verdict":200,"evidenceLevel":201,"rationale":251,"safetyStatus":216,"evidenceAsOf":22,"lastUpdated":22,"status":204,"changeHistory":252,"sources":253},"unexplained-adult-oral-thrush-needs-risk-assessment","Oral thrush is uncommon in otherwise healthy adults, so a new or unexplained suspected episode should be clinically assessed for confirmation and relevant local, medication, metabolic, or immune risk context rather than assumed to be routine Candida overgrowth or treated as proof of one underlying condition.","confirmation and risk-context assessment for unexplained suspected adult oral thrush without inferring a specific underlying diagnosis","adults with new or unexplained oral changes compatible with thrush and no established cause or current diagnosis","CDC states that mouth and throat candidiasis is uncommon in healthy adults and lists diabetes, HIV/AIDS, cancer, antibiotics, inhaled corticosteroids, dentures, dry mouth, and smoking as relevant contexts. The global guideline and NIH HIV guideline corroborate immune suppression as one important context, while neither supports inferring HIV, diabetes, or another single cause from thrush alone.",[],[254,255,256,257],{"title":152,"canonicalId":137,"canonicalUrl":153,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},{"title":148,"canonicalId":137,"canonicalUrl":149,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},{"title":156,"canonicalId":157,"canonicalUrl":158,"publisher":159,"sourceType":160,"publicationDate":161,"lastChecked":22},{"title":171,"canonicalId":137,"canonicalUrl":172,"publisher":173,"sourceType":160,"publicationDate":174,"lastChecked":22},{"claimId":259,"exactClaim":260,"outcome":261,"population":262,"verdict":200,"evidenceLevel":201,"rationale":263,"safetyStatus":216,"evidenceAsOf":22,"lastUpdated":22,"status":204,"changeHistory":264,"sources":265},"painful-difficult-swallowing-needs-assessment","Painful or difficult swallowing is compatible with esophageal candidiasis, particularly in an immunocompromised person and sometimes with oral thrush, but it is not Candida-specific and cannot establish the diagnosis without clinical assessment.","recognition of possible esophageal involvement without symptom-based diagnosis","adolescents and adults with painful swallowing, difficult swallowing, or retrosternal discomfort, with or without visible oral thrush or known immune impairment","CDC identifies pain and difficulty swallowing as esophageal-candidiasis features and notes that other infections can cause similar symptoms. The NIH HIV opportunistic-infection guideline gives the strongest population-specific description, linking odynophagia, dysphagia, chest discomfort, low CD4 count, and possible oral thrush while requiring clinical diagnosis and, for definitive confirmation, endoscopic and tissue evidence. The claim therefore supports orientation, not a universal care tier.",[],[266,267,268,269],{"title":136,"canonicalId":137,"canonicalUrl":138,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},{"title":144,"canonicalId":137,"canonicalUrl":145,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},{"title":171,"canonicalId":137,"canonicalUrl":172,"publisher":173,"sourceType":160,"publicationDate":174,"lastChecked":22},{"title":156,"canonicalId":157,"canonicalUrl":158,"publisher":159,"sourceType":160,"publicationDate":161,"lastChecked":22},{"claimId":271,"exactClaim":272,"outcome":273,"population":274,"verdict":200,"evidenceLevel":226,"rationale":275,"safetyStatus":216,"evidenceAsOf":22,"lastUpdated":22,"status":204,"changeHistory":276,"sources":277},"fungal-treatment-worsening-requires-reassessment","New, persistent, spreading, or worsening findings during or after antifungal treatment do not establish resistant or invasive fungal disease and should instead reopen the original diagnosis, body site, organism, host risk, exposure, treatment, adherence, and adverse-effect assessment.","cause-directed reassessment after treatment failure or worsening without inferring resistance, invasion, or treatment success","children and adults with a suspected or diagnosed fungal or Candida-related problem that persists, spreads, recurs, or worsens during or after treatment","Current candidiasis authorities distinguish infection site, host context, species, susceptibility, initial response, refractory disease, and alternative diagnoses. CDC also notes that fungal conditions are frequently misdiagnosed and that delayed correct treatment can be consequential. Together these sources support reassessment rather than a single inference from nonresponse; they do not establish one universal interval, action, or care tier across conditions and treatments.",[],[278,279,280,281],{"title":136,"canonicalId":137,"canonicalUrl":138,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},{"title":148,"canonicalId":137,"canonicalUrl":149,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},{"title":156,"canonicalId":157,"canonicalUrl":158,"publisher":159,"sourceType":160,"publicationDate":161,"lastChecked":22},{"title":164,"canonicalId":165,"canonicalUrl":166,"publisher":167,"sourceType":160,"publicationDate":168,"lastChecked":22},[283,298,309,323],{"safetyId":284,"observableTrigger":285,"careTier":286,"action":287,"applicablePopulations":288,"excludedPopulations":290,"locale":6,"checkedAt":22,"expiresAt":294,"sources":295},"us-oral-thrush-assessment-routine","A child or adult has white or red thrush-like mouth sores, mouth soreness, or recurring mouth changes that have not been examined.","routine","Arrange an examination with a healthcare provider or dentist rather than diagnosing the cause from appearance or starting repeated treatment without assessment.",[289],"children and adults in the United States with the observable mouth changes who are not covered by the newborn or faster-care records",[291,292,293],"newborns and breastfeeding pairs","people with pain or difficulty swallowing","people with an immediate medical emergency","2027-01-15",[296,297],{"title":177,"canonicalId":178,"canonicalUrl":179,"publisher":180,"sourceType":181,"publicationDate":182,"lastChecked":22},{"title":148,"canonicalId":137,"canonicalUrl":149,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},{"safetyId":299,"observableTrigger":300,"careTier":286,"action":301,"applicablePopulations":302,"excludedPopulations":304,"locale":6,"checkedAt":22,"expiresAt":294,"sources":307},"us-newborn-thrush-feeding-routine","A newborn has white mouth sores, mouth redness, unusual fussiness, or refuses to nurse, or a breastfeeding parent has deep-pink cracked sore nipples or pain during and after nursing.","Contact the child's healthcare provider and tell them about symptoms in both the baby and breastfeeding parent so each affected person can be assessed.",[303],"newborns in the United States and their breastfeeding parents with at least one listed observable feature",[305,306],"older children and adults without a newborn feeding context","a newborn who has an immediate medical emergency or cannot be kept hydrated",[308],{"title":185,"canonicalId":186,"canonicalUrl":187,"publisher":180,"sourceType":181,"publicationDate":188,"lastChecked":22},{"safetyId":310,"observableTrigger":311,"careTier":312,"action":313,"applicablePopulations":314,"excludedPopulations":316,"locale":6,"checkedAt":22,"expiresAt":294,"sources":319},"us-oral-thrush-high-risk-prompt","A person has thrush-like mouth changes or pain or difficulty swallowing and is living with HIV, receiving chemotherapy, taking immune-suppressing medicine, or otherwise has a weakened immune system.","prompt","Contact the treating healthcare team promptly for assessment and condition-specific testing; do not assume that mouth appearance alone identifies the cause or extent.",[315],"children and adults in the United States with the observable symptom and at least one listed immune-risk context",[317,318],"people without a listed immune-risk context","people who cannot breathe or have another immediate medical emergency",[320,321,322],{"title":177,"canonicalId":178,"canonicalUrl":179,"publisher":180,"sourceType":181,"publicationDate":182,"lastChecked":22},{"title":148,"canonicalId":137,"canonicalUrl":149,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},{"title":152,"canonicalId":137,"canonicalUrl":153,"publisher":139,"sourceType":140,"publicationDate":141,"lastChecked":22},{"safetyId":324,"observableTrigger":325,"careTier":312,"action":326,"applicablePopulations":327,"excludedPopulations":329,"locale":6,"checkedAt":22,"expiresAt":294,"sources":331},"us-infection-worsening-prompt","A known or suspected infection is not getting better or is getting worse, without the sepsis features or immediate danger listed in the emergency record.","Get medical care immediately and ask the healthcare professional whether emergency-department assessment is needed; do not use a fungal label to explain away worsening.",[328],"children and adults in the United States with the observable worsening or nonresponse",[330],"people with clammy skin, confusion, extreme pain, fever or shivering, a high heart rate or weak pulse, shortness of breath, or another immediate medical emergency",[332],{"title":191,"canonicalId":137,"canonicalUrl":192,"publisher":139,"sourceType":140,"publicationDate":193,"lastChecked":22},[334,337,340],{"rel":335,"hreflang":6,"href":336},"alternate","https://candipedia.org/en/symptoms-conditions/oral-thrush/",{"rel":335,"hreflang":338,"href":339},"pl-PL","https://candipedia.org/pl/objawy-i-problemy/plesniawki-jamy-ustnej/",{"rel":335,"hreflang":341,"href":336},"x-default",1784685064865]