The epidemiology of non-albicans Candida in oropharyngeal candidiasis in HIV patients

Spencer W. Redding, William R. Kirkpatrick, Olga Did, Annette W. Fothergill, Michael G. Rinaldi, Thomas F. Patterson

Research output: Contribution to journalArticlepeer-review

52 Scopus citations

Abstract

Oropharyngeal candidiasis (OPC) is the most common fungal infection in patients with HIV infection. Fluconazole has been proven to be very effective in treating this infection, but decreased susceptibility of Candida to this drug has emerged. Certain non-albicans species such as C. glabrata and C. krusei are commonly less susceptible to fluconazole than C. albicans and are being isolated with increased frequency in HIV patients. The purpose of this study was to determine if the presence of non-albicans Candida with OPC in HIV patients had an impact on clinical presentation. This study shows that late-stage HIV patients have a high prevalence of Candida with decreased susceptibility to fluconazole, especially non-albicans species. OPC episodes with non-albicans isolates were more likely to require higher doses of fluconazole to achieve clinical cure. Also, the presence of non-albicans Candida was more frequently associated with severe symptoms.

Original languageEnglish (US)
Pages (from-to)178-181
Number of pages4
JournalSpecial Care in Dentistry
Volume20
Issue number5
DOIs
StatePublished - 2000

ASJC Scopus subject areas

  • Dentistry(all)

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