Knoke M
Klinik für Innere Medizin A, Ernst-Moritz-Arndt-Universität Greifswald.
Z Arztl Fortbild Qualitatssich. 1998 Apr;92(3):157-62.
The orointestinal tract is a reservoir for facultatively pathogenic fungi, especially Candida albicans. In all of its sections in immunocompromised hosts, the occurrence of a mucosal mycosis is possible which may be the starting point of an infection of internal organs. The mouth and esophagus are the most often affected locations. A synopsis of clinical (including endoscopic) findings, mycological cultivation and mycoserology is important in diagnostics. There is no connection between the incidence of Candida in the orointestinal tract and multiple local symptoms like fatigue, headache, heartburn and others called "candidiasis hypersensitivity syndrome" or "mycophobia".
口腔肠道是兼性致病真菌的储存库，尤其是白色念珠菌。在免疫功能低下宿主的所有肠道部位，都有可能发生黏膜真菌病，这可能是内脏感染的起点。口腔和食管是最常受累的部位。临床（包括内镜）检查结果、真菌培养和真菌血清学的综合分析对诊断很重要。口腔肠道念珠菌感染的发生率与多种局部症状如疲劳、头痛、烧心等所谓的“念珠菌超敏综合征”或“恐真菌症”之间没有关联。
