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What Do White Spots On Tongue Indicate?

Posted on Fri, 19 Dec 2014

Question: Dear Doctor,

I have some white spots in my tongue and I have checked with a doctor already. I have been told that it is fungus and given me medicine (Pantozol 40). After two days, the result came that I have tongue swab C&S showing Klebsiella. The doctor advised me to take two augmentin 1000mg twice daily for a week.

Is this contagious by hand/kiss/sex or any?
Is this something to be scared of?
Shall I take anti fungus and/or antibiotics at the same time?
How will I know if this Klebsiella is connected to any part/s of my body like lungs/blood stream?
What tests should I do to get accurate result?

I attached herewith the result of my laboratory test.

Best regards,

XXXX

Answered by Dr. Krunal Karade (49 minutes later)

Brief Answer:
Klebsiella is contangious hand/kiss/sex & cough.

Detailed Answer:
Hi XXXXXXX ,
Thanks for the query.

I have read your query, seen your report, reviewed medications and understand your concern.

Klebsiella is contangious hand/kiss/sex & cough.

No need to scare, take complete treatment plan you will be get cured.

After tongue swab C&S report I would advice use only antibiotic which you are sensitive.

klebsiella can be detected from blood by doing blood culture , urine by doing urine culture & pleural fluid from lung by doing pleural culture .

If I were your treating Doctor for this case, I would advise you
Investigations like complete blood cell count to reveals leukocytosis, sputum sample for culture & chest xray to rule out any infection in lung.

Also use Antiseptic chlorhexidine Mouth Wash twice daily & plenty of fluids.

I would advice consult MD Medicine Doctor from your city, get the investigation done & take complete course of treatment plan.

You will get relief.

Hope this answer helpful to you. If you have any further questions I will be happy to help.
Regards,

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Krunal Karade (2 hours later)

Dear Doctor,

Thank you for your very prompt response. Please find attached copy of my Complete Blood Cell (CBC) which was done recently for your reference, review and advise.

Best regards,

XXXX

Answered by Dr. Krunal Karade (16 minutes later)

Brief Answer:
Your CBC report is within normal limits

Detailed Answer:
Hi XXXXXXX ,
Thanks for the follow up query.

I have seen your report .
Your CBC report is within normal limits .

This indicates that Klebsiella has not reached to your blood till now.

Consult MD Medicine Doctor from your city, get other investigation done & take complete course of treatment plan.

You will be fine.

Regards.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Krunal Karade (31 minutes later)

Dear Doctor,

Lastly, may you kindly advise me about something that I feel like crawling or twitching under my skin. I have had this feeling last month then it was temporary gone; and these days, I am experiencing it again.

Best regards,

XXXX

Answered by Dr. Krunal Karade (19 minutes later)

Brief Answer:
I would advice you , check your KFT & LFT.

Detailed Answer:
Thanks for the follow up query.

I would advice you , check your Kidney function test (KFT) & liver function test (LFT).

Regards.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Krunal Karade (25 minutes later)

Dear Dr kurnal, thanks a lot for your interest and prompt reply , I already did both test and they are ok what do you think ?? My last question for can kelbsilia sperad to eyes and gentilia I have noodle on it 2days ago . Tks doctor and sport for so many questions best regardsXXXXX

Answered by Dr. Krunal Karade (11 minutes later)

Brief Answer:
Yes , kelbsilia can spread to mucosa of eyes & gentila .

Detailed Answer:
Thanks for the follow up query.

It might because of side effect of drugs you have taken .
Your MD Medicine Doctor will help you better .

Yes , kelbsilia can spread to mucosa of eyes & gentila .
Get the swab done & sensitive antibiotic ointment accordingly .

Wish you good health.
Regards.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Krunal Karade (21 hours later)

Dear Doctor,

Thank you for your advise.

Yesterday I did the chest x-ray and it was normal. The sputum culture may only be done after the course of taking the antibiotics they advised. The doctor told me that it may not be spread in my lungs if I am healthy and I have strong immune system. And that it is curable.

Do you agree with him?
How will I know if I have strong immune system?
Is that related or can be shown in my CBC?

The doctor told me he will repeat the tongue culture next week after I finish also the course of my antibiotics. During this time, shall I take any other antibiotics or just wait for the results?

Thank you for your support and advise.

Best regards,

XXXX

Answered by Dr. Krunal Karade (32 minutes later)

Brief Answer:
If your chest x-ray normal , then no need to worry about lung klebsiella.

Detailed Answer:
Thanks for the follow up query XXXXXXX

If your chest x-ray is normal, then no need to worry about lung klebsiella.
Yes, I agree with your doctor. It does not spread to lung.

Yes, Immune system is related to your CBC which is within normal limits. Hence no need to worry.

Since you already started antibiotics - augmentin, I would advice to complete the course & repeat the tongue culture after antibiotic course.

Just wait for result of tongue culture before starting other antibiotic.

Also use Antiseptic chlorhexidine Mouth Wash twice daily & plenty of fluids.

Hope above information helpful to you, take care.
Regards.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari