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Asymptomatic oral Candida albicans carriage in HIV‐infection: frequency and predisposing factors
Author(s) -
Fetter Anny,
Partisani Marialuisa,
Koenig Helene,
Kremer Michel,
Lang JeanMarie
Publication year - 1993
Publication title -
journal of oral pathology and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.887
H-Index - 83
eISSN - 1600-0714
pISSN - 0904-2512
DOI - 10.1111/j.1600-0714.1993.tb00043.x
Subject(s) - carriage , asymptomatic , candida albicans , medicine , immunology , incidence (geometry) , corpus albicans , epidemiology , lymphocytopenia , mycosis , microbiology and biotechnology , biology , pathology , lymphocyte , physics , optics
Many studies have focused on the epidemiology and pathogenesis of oral candidiasis in HIV infection. Little is known on the incidence and predisposing factors of asymptomatic oral Candida carriage in this setting, obviously an important issue in view of prophylaxis. To address this question. 261 consecutive HIV‐infected individuals without clinical evidence of candidiasis were investigated. C. albicans was isolated from cultured oral cavity swabs of 63 subjects (24%). Colonization was significantly more frequent in IV drug users. CDC groups IV. and in subjects with lymphocytopenia. CD4+ cell depletion, or elevated beta‐2 microglobulin. These data further suggest that oral candidiasis occurs in HIV infection as a result of C. albicans overgrowth and raise the question of primary antifungal prophylaxis in subjects with low CD4 counts and asymptomatic oral Candida carriage.