Persistent oral candidosis by non-albicans Candida strains including Candida glabrata in a human immunodeficiency virus-infected patient observed over a period of 6 years

Mycoses. 1998 Sep-Oct;41(7-8):335-8. doi: 10.1111/j.1439-0507.1998.tb00347.x.

Abstract

A 38-year-old woman infected with human immunodeficiency virus (HIV) presented with persistent oral candidosis in which non-albicans Candida strains were the predominant yeasts in most of the examinations performed over a period of 6 years. Oral treatment with fluconazole had no effect on clinical signs of oral candidosis. In 8 of a total of 11 specimens, Candida glabrata, Candida parapsilosis and Candida tropicalis were at least suspected as the causative pathogens of oral candidosis. The non-response to fluconazole in our patient could be explained by in vitro resistance to fluconazole of detected Candida glabrata and Candida tropicalis isolates.

Publication types

  • Case Reports

MeSH terms

  • AIDS-Related Opportunistic Infections / drug therapy
  • AIDS-Related Opportunistic Infections / microbiology*
  • Adult
  • Antifungal Agents / therapeutic use
  • Candida / classification*
  • Candida / isolation & purification
  • Candidiasis, Oral / drug therapy
  • Candidiasis, Oral / microbiology*
  • Drug Resistance, Microbial
  • Female
  • Fluconazole / therapeutic use
  • HIV Infections / complications*
  • Humans
  • Recurrence
  • Time Factors

Substances

  • Antifungal Agents
  • Fluconazole