Wednesday, March 4, 2015

What is Thrush?

By Kip Tulin, M.D.

If you answered 'yes' then you are right. As a pediatrician, answer 'A' was obvious to me. The white coating on the baby's tongue is caused by a yeast called Candida Albicans. It can be treated locally with antifungals like Nystatin, or if you want to get really messy, gentian violet.  In more severe cases it might need systemic treatment.

Most equestrians would hone in on answer 'B'. Hoof thrush, I found out, is a completely different beastie than human thrush. It is caused by a bacterium rather than a yeast, Fusobacterium necrophorum in most cases. It occurs naturally, especially in wet environments and thrives in low oxygen settings, like in the deep clefts of the frog. Unlike human thrush, hoof thrush is black and smelly. What the many listed topical treatments have in common is the need for excellent hoof care:  Whether it's Betadine, Tea Tree Oil, Borax, or bleach the trick is to expose the infected areas to air as much as possible and trim out the affected tissues.

Oh, if you're a birder, 'C' is your answer. Thrushes are made by Mr. and Mrs. Thrush getting together....and, well, you know......


(Originally published July 2014)