It usually presents as a bright red rash, with or without pustules, that itches or burns. Diagnosis The diagnosis of candidiasis is often clinical, and a physician or a dentist (depending on the area affected) should examine the area affected: either a rash, ulcer or plaque lesion, with or without a scrapable white substance present, is characteristic of candidiasis. A compatible lesion with a medical history that points to candidiasis is more than enough to diagnose a patient. If necessary, a health professional can obtain a sample to test for candidiasis: in the case of oral candidiasis, saliva samples, oral smear, or a culture test can be useful to confirm the diagnosis, though not always necessary. In the case of drug-resistant candidiasis, culture tests can determine what type of Candida fungus is responsible for the infection and which drug would be more efficient in treating it. In most cases, a physician might prescribe an antifungal medication before doing tests as a therapeutic trial can not only prove that it is candidiasis but solve the problem all at once. In rare cases, a cytology smear or a biopsy will be necessary. A biopsy might be necessary if the lesion is similar to other conditions like leukoplakia, lichen planus and syphilis, in order to eliminate all possibilities. Management and treatment Treatment of yeast infections is done with antifungal medication. For oral candidiasis, a nystatin suspension is often prescribed, and if the infection affects the mouth corners or areas surrounding the lips, creams containing nystatin can also be prescribed
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