I have a 19 year old sister who has been taking methatrexate once a week treatments for severe ecxema and psorisis. In the past few days she has developed what appears to be an oral yeast infection, at least to this nurse. She has been instructed to see her primary care MD but this being a holiday weekend and Monday being a holiday, Im concerned that maybe she should go to local ER for eval due to immune suppression. Am I over reacting?
Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that go for Grams Staining from the lesion for diagnosis of the causative organisms. If its yeast it will be gram positive yeast cells and treatment I'd fluconazole. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you.