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口腔潜在恶性疾病和口腔鳞状细胞癌患者念珠菌属的调查。

Investigation of Candidal Species among People Who Suffer from Oral Potentially Malignant Disorders and Oral Squamous Cell Carcinoma.

作者信息

Abidullah Mohammed, Bhosle Sunitha, Komire Bruhathi, Sharma Priyadarshini, Swathi K, Karthik L

机构信息

Department of Dental and Biomedical Sciences, Faculty of Dentistry, Al Baha University, Al Bahah, Saudi Arabia.

Department of Oral Medicine and Radiology, Ame's Dental College and Hospital, Raichur, Karnataka, India.

出版信息

J Pharm Bioallied Sci. 2021 Nov;13(Suppl 2):S1050-S1054. doi: 10.4103/jpbs.jpbs_357_21. Epub 2021 Nov 10.

Abstract

AIM AND OBJECTIVE

The aim of the present study was to evaluate the candidal species among masses with oral potentially malignant disorders and oral squamous cell carcinoma.

MATERIALS AND METHODS

This prospective and observational study was conducted by the Department of Oral Pathology and Microbiology, S. B. Patil Dental College, Bidar, Karnataka, India, from February 2018 to January 2019. The study composed of total of 150 individuals, of which 50 individuals did not had any visible manifestations, 50 were analyzed with potentially malignant disorders (PMDs) in particular oral leukoplakia, oral lichen planus, and oral submucous fibrosis and last group of 50 individuals were suffering from oral squamous cell carcinoma (OSCC). First, the swab samples were elicited from culture technique after that incisional biopsy of the discernible investigated lesion was done for the purpose of justopathological verification. The swab samples were streak on Sabouraud dextrose agar (SDA) and HiCrome Differential HiVeg agar/CHROMagar medium and incubation at 37°C for 24-48 h. Biopsy was done for all the samples.

RESULTS

The proportion of candidates as men and women in control was 45 (90%) and 5 (10%), in PMD was 30 (60%) and 20 (40%), and in OSCC was 45 (90%) and 5 (10%), correspondingly. On evaluation on SDA medium in controls, PMD and OSCC groups, was founded in 14 (28%), 20 (40%), and 42 (84%) and not founded in 36 (72%), 30 (60%), and 8 (16%) folks, subsequently. Intragroup contrast illustrated exceedingly necessary distinction with = 0.000 between both controls versus OSCC and PMD in comparison to OSCC. Nevertheless, controls versus PMD manifested insignificant, = 0.119. Investigation on CHROM AGAR media among controls, PMD and OSCC groups, species was seen in 11 (22%), 19 (38%), and 40 (80%) and absent in 39 (78%), 31 (62%), and 10 (20%) individuals, respectively. On statistical inspection, the variations noted were enormous, ( = 0.000). On speciation of in CHROM agar among the controls, PMD and OSCC groups, species was present in 9 (18%), 16 (32%), and 6 (12%), in 3 (6%), 6 (12%), and 13 (26%), in 0, 0, and 8 (16%), and in 0, 0, and 3 (6%) cases, respectively. Nonetheless, only OSCC group reveal amalgamation of species such as and was present in 2 (4%) case, and in was present 3 (6%) cases, and was present in 2 (4%) case, and was present in 2 (4%) cases, and , with was present in 1 (2%) case, respectively. All other types of fungi were regarded as infectious excluding , on analysis on SDA medium, infestation in the form of fungal molds was seen in 18 (36%) in controls, 12 (24%) in PMD and 8 (16%) in OSCC groups.

CONCLUSION

We interpreted that the chief carrier of species in PMDs and OSCC, yet more light is to be thrown on the topic that Candida has particular establishment in PMDs or in malignancy.

摘要

目的与目标

本研究的目的是评估口腔潜在恶性疾病和口腔鳞状细胞癌患者群体中的念珠菌种类。

材料与方法

本前瞻性观察性研究由印度卡纳塔克邦比达尔市S.B.帕蒂尔牙科学院口腔病理学与微生物学系于2018年2月至2019年1月进行。该研究共纳入150名个体,其中50名个体无任何可见症状,50名个体被分析患有潜在恶性疾病(PMD),特别是口腔白斑、口腔扁平苔藓和口腔黏膜下纤维化,最后一组50名个体患有口腔鳞状细胞癌(OSCC)。首先,通过培养技术获取拭子样本,之后对可识别的被调查病变进行切开活检以进行病理验证。将拭子样本接种在沙氏葡萄糖琼脂(SDA)和HiCrome Differential HiVeg琼脂/CHROMagar培养基上,于37°C孵育24 - 48小时。对所有样本均进行活检。

结果

对照组中男性和女性的比例分别为45(90%)和5(10%),PMD组中为30(60%)和20(40%),OSCC组中为45(90%)和5(10%)。在SDA培养基上对对照组、PMD组和OSCC组进行评估时,分别有14(28%)、20(40%)和42(84%)发现念珠菌,相应地,分别有36(72%)、30(60%)和8(16%)未发现。组内对比显示,对照组与OSCC组以及PMD组与OSCC组之间差异极显著,P = 0.000。然而,对照组与PMD组之间差异不显著,P = 0.119。在CHROM AGAR培养基上对对照组、PMD组和OSCC组进行调查时,分别有11(22%)、19(38%)和40(80%)发现白色念珠菌,分别有39(78%)、31(62%)和10(20%)未发现。经统计学检验,差异显著(P = 0.000)。在CHROM琼脂上对对照组、PMD组和OSCC组的白色念珠菌进行菌种鉴定时,热带念珠菌分别存在于9(18%)、16(32%)和6(12%),近平滑念珠菌分别存在于3(6%)、6(12%)和13(26%),季也蒙念珠菌在对照组、PMD组中均未发现,在OSCC组中存在于8(16%),葡萄牙念珠菌在对照组、PMD组中均未发现,在OSCC组中存在于3(6%)。然而,仅OSCC组发现有多种念珠菌合并感染的情况,如热带念珠菌和近平滑念珠菌同时存在于2(4%)例,热带念珠菌和季也蒙念珠菌同时存在于3(6%)例,热带念珠菌和葡萄牙念珠菌同时存在于2(4%)例,近平滑念珠菌和季也蒙念珠菌同时存在于2(4%)例,近平滑念珠菌、季也蒙念珠菌和葡萄牙念珠菌同时存在于1(2%)例。在SDA培养基上分析时,除白色念珠菌外,所有其他类型的真菌均被视为感染性真菌,对照组中有18(36%)出现真菌霉菌感染,PMD组中有12(24%),OSCC组中有8(16%)。

结论

我们认为白色念珠菌是PMD和OSCC中的主要携带菌,但关于念珠菌在PMD或恶性肿瘤中是否有特定定植这一问题仍有待进一步研究。

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Molecular epidemiology, phylogeny and evolution of Candida albicans.白色念珠菌的分子流行病学、系统发育与进化
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