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HIV感染中的口腔白色念珠菌

Oral candida albicans in HIV infection.

作者信息

Torssander J, Morfeldt-Månson L, Biberfeld G, Karlsson A, Putkonen P O, Wasserman J

出版信息

Scand J Infect Dis. 1987;19(3):291-5. doi: 10.3109/00365548709018473.

DOI:10.3109/00365548709018473
PMID:2956672
Abstract

The prevalence of oral colonization with Candida albicans was studied in 225 homosexual men, 99 of whom had HIV antibodies and in 175 heterosexual men. Oral candidal carriage was most prevalent among HIV seropositive homosexual men (77.8%). Rich growth of C. albicans in culture and findings of pseudomycelial elements in oral mucosal smear also correlated with HIV seropositivity. Pseudomycelial forms of C. albicans were demonstrated in mucosal smear from all patients with oral mucosal lesions suspected for candidiasis. However, 26/53 patients (49.1%) with positive smear had no clinical signs of oral candidiasis. The oral yeast flora was sampled twice in 85 homosexual men at an interval of 12-18 months. 71/85 patients (83.5%) were grouped into the same category of candidal colonization; carrier or noncarrier state, on both occasions. No statistically significant differences in numbers of CD 4 cells or CD 8 cells were observed between patients with respect to candidal colonization, when HIV seropositive and seronegative homosexual men were considered separately.

摘要

对225名男同性恋者和175名男异性恋者进行了白色念珠菌口腔定植患病率的研究,其中225名男同性恋者中有99人携带HIV抗体。口腔念珠菌携带情况在HIV血清阳性的男同性恋者中最为普遍(77.8%)。培养中白色念珠菌的丰富生长以及口腔黏膜涂片上假菌丝成分的发现也与HIV血清阳性相关。在所有疑似念珠菌病的口腔黏膜病变患者的黏膜涂片中均发现了白色念珠菌的假菌丝形式。然而,涂片阳性的53名患者中有26名(49.1%)没有口腔念珠菌病的临床症状。对85名男同性恋者的口腔酵母菌菌群进行了两次采样,间隔时间为12至18个月。85名患者中有71名(83.5%)在两次采样时都被归为同一类念珠菌定植类别,即携带者或非携带者状态。当分别考虑HIV血清阳性和血清阴性的男同性恋者时,在念珠菌定植方面,患者之间的CD4细胞或CD8细胞数量没有观察到统计学上的显著差异。

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1
Oral candida albicans in HIV infection.HIV感染中的口腔白色念珠菌
Scand J Infect Dis. 1987;19(3):291-5. doi: 10.3109/00365548709018473.
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Oral candidal infection as a sign of HIV infection in homosexual men.口腔念珠菌感染作为男同性恋者感染艾滋病毒的一个迹象。
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Lancet. 1984 Sep 29;2(8405):711-6. doi: 10.1016/s0140-6736(84)92624-2.

引用本文的文献

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2
Carriage frequency, intensity of carriage, and strains of oral yeast species vary in the progression to oral candidiasis in human immunodeficiency virus-positive individuals.在人类免疫缺陷病毒阳性个体中,口腔酵母菌的携带频率、携带强度和菌株在口腔念珠菌病的进展过程中各不相同。
J Clin Microbiol. 2002 Feb;40(2):341-50. doi: 10.1128/JCM.40.2.341-350.2002.
3
Typing Candida albicans oral isolates from human immunodeficiency virus-infected patients by multilocus enzyme electrophoresis and DNA fingerprinting.
通过多位点酶电泳和DNA指纹图谱技术对人类免疫缺陷病毒感染患者的白色念珠菌口腔分离株进行分型。
J Clin Microbiol. 1996 May;34(5):1235-48. doi: 10.1128/jcm.34.5.1235-1248.1996.
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Increased expression of Candida albicans secretory proteinase, a putative virulence factor, in isolates from human immunodeficiency virus-positive patients.白色念珠菌分泌蛋白酶(一种假定的毒力因子)在人类免疫缺陷病毒阳性患者分离株中的表达增加。
J Clin Microbiol. 1995 Oct;33(10):2543-9. doi: 10.1128/jcm.33.10.2543-2549.1995.
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Correlation between antifungal susceptibility testing of Candida isolates from patients with HIV infection and clinical results after treatment with fluconazole.HIV感染患者念珠菌分离株的抗真菌药敏试验与氟康唑治疗后的临床结果之间的相关性。
Infection. 1994 Mar-Apr;22(2):132-6. doi: 10.1007/BF01739024.
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J Clin Microbiol. 1994 Sep;32(9):2092-8. doi: 10.1128/jcm.32.9.2092-2098.1994.
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