Bensaude R J
Ann Gastroenterol Hepatol (Paris). 1984 Oct-Nov;20(5):275-80.
When the endoscopic lesion typical anorectocolonic candidiasis is absent, the author demonstrates that mild cases of colonopathy due to Candida albicans do not always present the commonly described classic symptoms of anomarginal, copperhued, running lesions... The proctosigmoidoscope reveals that in half of the cases with concurrent ordinary digestive troubles and Candida albicans present in the stools, the mucosa is congestive and, very often, the rectal cytology disturbed. A good correlation exists between modifications of the rectosigmoid mucosa and the number of Candida albicans colonies isolated from the feces of these patients. In addition, anal pruritus, a rare clinical event by itself, can be attributed to candidiasis using the proctosigmoidoscope and coproculture. Mild anorectocolonic candidiasis can exist as a secondary infection with chronic inflammatory colitis (ulcerative colitis, etc.) or acute mucous colitis. These infections can also be primary and, in these cases, sometimes appear consequent to recent antibiotic therapy.
当内镜检查未发现典型的肛门直肠结肠念珠菌病病变时，作者表明，由白色念珠菌引起的轻度结肠病病例并不总是呈现出通常所描述的边缘不规则、铜色、蔓延性病变的典型症状……直肠乙状结肠镜检查显示，在一半同时伴有普通消化系统疾病且粪便中存在白色念珠菌的病例中，黏膜充血，而且直肠细胞学检查常常出现异常。直肠乙状结肠黏膜的改变与从这些患者粪便中分离出的白色念珠菌菌落数量之间存在良好的相关性。此外，肛门瘙痒本身是一种罕见的临床症状，通过直肠乙状结肠镜检查和粪便培养可归因于念珠菌病。轻度肛门直肠结肠念珠菌病可作为慢性炎症性结肠炎（溃疡性结肠炎等）或急性黏液性结肠炎的继发感染而存在。这些感染也可能是原发性的，在这些情况下，有时似乎是近期抗生素治疗的结果。
