Fodor Eleonóra, Dósa E, Nagy A, Nagy E, Ferenczy L
Department of Clinical Microbiology, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Acta Microbiol Immunol Hung. 2002;49(1):59-68. doi: 10.1556/AMicr.49.2002.1.6.
In the present study, 16 women with recurrent vulvovaginal candidiasis (RVVC) due to Candida albicans and Candida (Torulopsis) glabrata were followed for a period of 4 to 12 months, and 36 vaginal isolates were evaluated by pulsed-field gel electrophoresis (PFGE). Eleven women were infected by C. albicans and 5 by C. glabrata. Three electrophoretic karyotypes of C. albicans and 3 of C. glabrata were identified throughout the follow-up. All patients but one was infected with the same karyotype of C. albicans or C. glabrata during the follow-up period. Two different karyotypes of C. glabrata were identified in one patient in the course of 12 months. The results confirmed the diversity of the karyotypes of C. albicans and C. glabrata causing vulvovaginitis, and demonstrated the persistence of colonization with the same strain over different periods of time despite therapy (15/16 women).
在本研究中,对16例因白色念珠菌和光滑念珠菌(念珠菌属球拟酵母菌)引起复发性外阴阴道念珠菌病(RVVC)的女性进行了4至12个月的随访,并通过脉冲场凝胶电泳(PFGE)对36株阴道分离株进行了评估。11名女性感染白色念珠菌,5名感染光滑念珠菌。在整个随访过程中,鉴定出白色念珠菌的3种电泳核型和光滑念珠菌的3种电泳核型。除1名患者外,所有患者在随访期间均感染相同核型的白色念珠菌或光滑念珠菌。在12个月的病程中,1名患者体内鉴定出两种不同核型的光滑念珠菌。结果证实了引起外阴阴道炎的白色念珠菌和光滑念珠菌核型的多样性,并表明尽管进行了治疗,但在不同时间段内同一菌株的定植仍持续存在(16名女性中有15名)。