The prevalence of Candida albicans from oral cavity in patients with HIV seropositive hemophiliacs
The mucosae of thirty-seven patients with hemophilia of our outpatients clinic were examined clinically by means of cultivation using Microstix-Candida ® to determine the presence of Candida albicans. Eighteen (48.6%) out of thirty-seven men were seropositive for human immunodeficiency virus (HIV)....
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| Published in | Journal of Japanese Society of Dentistry for Medically Compromised Patient Vol. 4; no. 1; pp. 21 - 26 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Society of Dentistry for Medically Compromised Patient
31.08.1995
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0918-8150 1884-667X |
| DOI | 10.11255/jjmcp1992.4.21 |
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| Abstract | The mucosae of thirty-seven patients with hemophilia of our outpatients clinic were examined clinically by means of cultivation using Microstix-Candida ® to determine the presence of Candida albicans. Eighteen (48.6%) out of thirty-seven men were seropositive for human immunodeficiency virus (HIV). The other nineteen patients were HIV seronegative. Five out of eighteen (27.8%) HIV seropositive and one out of nineteen (5.3%) HIV seronegative patients had culture-confirmed presence of C. albicans. In the former group, colonization of C. albicans was significantly more frequent in subjects with lymphocytopenia, CD4+ cell deleption, reversed CD4/CD8 rate and elevated DMF index. We did not find the relationship, on the other hand, between score of OHI-S and prevalence of C. albicans from oral cavity. Our findings indicate that oral candidiasis occurs in HIV infection as a result of C. albicans over-growth, and conclude that clinician should be aware of importance of cooperation with dentists and management of dental hygiene. |
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| AbstractList | The mucosae of thirty-seven patients with hemophilia of our outpatients clinic were examined clinically by means of cultivation using Microstix-Candida ® to determine the presence of Candida albicans. Eighteen (48.6%) out of thirty-seven men were seropositive for human immunodeficiency virus (HIV). The other nineteen patients were HIV seronegative. Five out of eighteen (27.8%) HIV seropositive and one out of nineteen (5.3%) HIV seronegative patients had culture-confirmed presence of C. albicans. In the former group, colonization of C. albicans was significantly more frequent in subjects with lymphocytopenia, CD4+ cell deleption, reversed CD4/CD8 rate and elevated DMF index. We did not find the relationship, on the other hand, between score of OHI-S and prevalence of C. albicans from oral cavity. Our findings indicate that oral candidiasis occurs in HIV infection as a result of C. albicans over-growth, and conclude that clinician should be aware of importance of cooperation with dentists and management of dental hygiene. |
| Author | Ueda, Minoru Ohsuka, Shinji Masuda, Koji Usami, Takeshi |
| Author_xml | – sequence: 1 fullname: Usami, Takeshi organization: Department of Bacteriology, Nagoya Universety, School of Medicine – sequence: 1 fullname: Ohsuka, Shinji organization: Department of Dentistry, Yagoto Hospital – sequence: 1 fullname: Masuda, Koji organization: Department of Dentistry, Yagoto Hospital – sequence: 1 fullname: Ueda, Minoru organization: Department of Oral Surgery, Nagoya University School of Medicine |
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| References | 15) 阿部美知子, 高木千鶴, 他: カンジダ検出の簡易法Microstix-Candidaの有用性; 臨床検査, 21: 83-87, 1977. 13) Syrjänen S, Valle S L, et al: Oral candial infection as a sign of HIV infection in homosexual men. Oral Surg, 65: 36-40, 1988. 9) Chandrasekar P H and Molinari J A: Oral candidiasis: forerunner of acquired immunodeficiency syndrome (AIDS) ? Oral Surg Oral Med Oral Pathol, 60: 532-534, 1985. 11) Popovic M, Sargadharan M G, et al: Detection isolation and continuous production of cytopathic retroviruses (HTLV-III) from patients with AIDS and pre-AIDS. Science, 224: 497-500, 1984. 7) Tossander J, Wasserman J, et al: Persistent generalized lymphadenopathy: Immunological and mycological investigations. Acuta Derm Venereol, 65: 515-520, 1985. 1) Gottlieb M S, Schroff R, et al: Pneumnocystis carinii Pneumonia and mucosal candidiasis in previously healthy homosexual men. N Engl J Med, 305: 1425-1430, 1981. 14) Centers for disease control: Revision of the CDC surveillance case difinition for acquired immnodeficiency syndrome. JAMA, 258: 1143-1154, 1987. 16) Nikawa H, Iwanaga H, et al; An in viro evaluation of simplified quantitative diagnostic aids for detection of Candida albicans. J Prosthet Dent, 68: 629-633, 1992. 5) Small C B, Klein R S, et al: Communityacquired opportunistic infections and defective cellular immunity in heterosexual drug abusers and homosexual men. Ann Intern Med, 74. 433-411, 1983. 10) Gallo R C, Salahuddin S Z, et al: Frequent detection and isolation of cytopathic retoroviruses (HTLV-III) from patients with AIDS and at risk for AIDS. Science, 224: 500-503, 1984. 17) 伊藤正夫, 宇佐美雄司, 他: HIV感染者の歯科診療; 日有病歯誌, 2: 1-9, 1993. 6) Abrams D I, Lewes B J, et al: Persistent Diffuse lymphadenopathy in homosexual men: endpoint or prodrome? Ann Intern Med, 100: 801-808, 1984. 12) Krohn K, Ranki A, et al: Immune functions in homosexual men with antibodies to HTLV-III in Finland. Clin Exp Immunol, 60: 17-24, 1985. 21) Ashoori M, Ito M, et al: Clinical evaluation of a new dental unit designed to prevent internal contamination. JJMCP, 3: 33-38, 1994. 2) Follansbee S E, Busch D F, et al: An outbreak of Pneumocystis carinii in homosexual men. Ann Intern Med, 96: 705-713, 1982. 19) Ohsuka S, Ohta M, et al: Microbiological evaluation of a newly designed dental airturbine handpiece for anti crosscontaminations. Int J Protho, 7: 201-208, 1994. 22) George L, Irin P, et al: Gingival lesion of HIV infection in 178 Greek patients. Oral Surg Oral Med Oral Pathol, 74: 168-171, 1992. 25) Ramirez A V, Gonzalez M, et al: Oral findings in Mexican AIDS patients with cancer. J Oral Pathol Med, 22: 87-91, 1993. 3) Mildvan D, Mather U, et al: Opportunistic infections ahd immune deficiency in homosexual men. Ann Intern Med, 96: 700-704, 1982. 8) Klein R S, Harris C A, et al: Oral candidiasis in high-risk patients as the initial manifestation of the acquired immunodeficiency syndrome. N Engl J Med, 311: 354-358, 1984. 20) 伊藤正夫, 増田晃司, 他: 歯科用エアタービンハンドピースの汚染をめぐって; Zoom up, 81: 6-12, 1993. 4) Lerner W and Tapper M L: Opportunistic infections complicating acquired immune deficiency syndrome. Medicine, 63: 155-164, 1984. 24) Joan A P, Brian R S, et al: Oral findings in patients with acquired immunod-eficiency syndrome. Oral Surg Oral Med Oral Pathol, 64: 50-56, 1987. 18) Masuda K, Ohta M, et al: Bacteriological evaluation of a new air turbine handpiece for preventing cross-contamination in dental procedures. Nagoya J Med Sci, 57: 69-76, 1994. 23) Hans C K, Markus O, et al: In vitro susceptibilities and biotypes of C. albicans isolates from the oral cavities of patients infected with human immunodeficiency virus. J Clin Microbiol, 26: 2626-2631, 1988. |
| References_xml | – reference: 5) Small C B, Klein R S, et al: Communityacquired opportunistic infections and defective cellular immunity in heterosexual drug abusers and homosexual men. Ann Intern Med, 74. 433-411, 1983. – reference: 25) Ramirez A V, Gonzalez M, et al: Oral findings in Mexican AIDS patients with cancer. J Oral Pathol Med, 22: 87-91, 1993. – reference: 19) Ohsuka S, Ohta M, et al: Microbiological evaluation of a newly designed dental airturbine handpiece for anti crosscontaminations. Int J Protho, 7: 201-208, 1994. – reference: 3) Mildvan D, Mather U, et al: Opportunistic infections ahd immune deficiency in homosexual men. Ann Intern Med, 96: 700-704, 1982. – reference: 10) Gallo R C, Salahuddin S Z, et al: Frequent detection and isolation of cytopathic retoroviruses (HTLV-III) from patients with AIDS and at risk for AIDS. Science, 224: 500-503, 1984. – reference: 14) Centers for disease control: Revision of the CDC surveillance case difinition for acquired immnodeficiency syndrome. JAMA, 258: 1143-1154, 1987. – reference: 23) Hans C K, Markus O, et al: In vitro susceptibilities and biotypes of C. albicans isolates from the oral cavities of patients infected with human immunodeficiency virus. J Clin Microbiol, 26: 2626-2631, 1988. – reference: 13) Syrjänen S, Valle S L, et al: Oral candial infection as a sign of HIV infection in homosexual men. Oral Surg, 65: 36-40, 1988. – reference: 21) Ashoori M, Ito M, et al: Clinical evaluation of a new dental unit designed to prevent internal contamination. JJMCP, 3: 33-38, 1994. – reference: 11) Popovic M, Sargadharan M G, et al: Detection isolation and continuous production of cytopathic retroviruses (HTLV-III) from patients with AIDS and pre-AIDS. Science, 224: 497-500, 1984. – reference: 20) 伊藤正夫, 増田晃司, 他: 歯科用エアタービンハンドピースの汚染をめぐって; Zoom up, 81: 6-12, 1993. – reference: 17) 伊藤正夫, 宇佐美雄司, 他: HIV感染者の歯科診療; 日有病歯誌, 2: 1-9, 1993. – reference: 12) Krohn K, Ranki A, et al: Immune functions in homosexual men with antibodies to HTLV-III in Finland. Clin Exp Immunol, 60: 17-24, 1985. – reference: 15) 阿部美知子, 高木千鶴, 他: カンジダ検出の簡易法Microstix-Candidaの有用性; 臨床検査, 21: 83-87, 1977. – reference: 9) Chandrasekar P H and Molinari J A: Oral candidiasis: forerunner of acquired immunodeficiency syndrome (AIDS) ? Oral Surg Oral Med Oral Pathol, 60: 532-534, 1985. – reference: 1) Gottlieb M S, Schroff R, et al: Pneumnocystis carinii Pneumonia and mucosal candidiasis in previously healthy homosexual men. N Engl J Med, 305: 1425-1430, 1981. – reference: 7) Tossander J, Wasserman J, et al: Persistent generalized lymphadenopathy: Immunological and mycological investigations. Acuta Derm Venereol, 65: 515-520, 1985. – reference: 2) Follansbee S E, Busch D F, et al: An outbreak of Pneumocystis carinii in homosexual men. Ann Intern Med, 96: 705-713, 1982. – reference: 4) Lerner W and Tapper M L: Opportunistic infections complicating acquired immune deficiency syndrome. Medicine, 63: 155-164, 1984. – reference: 8) Klein R S, Harris C A, et al: Oral candidiasis in high-risk patients as the initial manifestation of the acquired immunodeficiency syndrome. N Engl J Med, 311: 354-358, 1984. – reference: 16) Nikawa H, Iwanaga H, et al; An in viro evaluation of simplified quantitative diagnostic aids for detection of Candida albicans. J Prosthet Dent, 68: 629-633, 1992. – reference: 18) Masuda K, Ohta M, et al: Bacteriological evaluation of a new air turbine handpiece for preventing cross-contamination in dental procedures. Nagoya J Med Sci, 57: 69-76, 1994. – reference: 6) Abrams D I, Lewes B J, et al: Persistent Diffuse lymphadenopathy in homosexual men: endpoint or prodrome? Ann Intern Med, 100: 801-808, 1984. – reference: 24) Joan A P, Brian R S, et al: Oral findings in patients with acquired immunod-eficiency syndrome. Oral Surg Oral Med Oral Pathol, 64: 50-56, 1987. – reference: 22) George L, Irin P, et al: Gingival lesion of HIV infection in 178 Greek patients. Oral Surg Oral Med Oral Pathol, 74: 168-171, 1992. |
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| Title | The prevalence of Candida albicans from oral cavity in patients with HIV seropositive hemophiliacs |
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