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Expert Q&A
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| By Michael F. Wasserman General Pediatrician | ||
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We adopted our daughter at 12 months from another country. She is now 17 months old. When we brought her home, she had thrush and was treated with Diflucan and the swish and swallow Nystantin. We have done all of her lab work twice and everything is perfect, including negative HIV results two times. Why is she getting this thrush again? The only thing about both times in common was that she is cutting teeth at the same time.
Cutting teeth does not cause disease, including thrush, so that is not an explanation for your problem. If the child has had no other serious or other unusual infections, then the consideration of a disease that alters immunity may not need to be delved into at this point. At the same time, thrush is not as common in toddlers as it is in infants. Removing pacifiers and other objects that the child places into the mouth might be useful.
Regarding a medical evaluation, overall health screening including screening labs would be useful, as well as careful following of the child's growth pattern. Consideration of other immune deficiency diseases has to be considered soon if there are any other abnormal signs or symptoms of disease. Seeking counsel from a pediatric infectious disease specialist might be your next step.
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