The lethal response in mice to yeast-like cells of Candida albicans grown for 3, 6, or 9 h in a defined minimal culture medium was more severe than that observed with corresponding pseudohyphal preparations. This differential effect could be only partially correlated with the greater number of viable units in respective yeast-like cultures. No significant differences between yeast-like and pseudohyphal syspensions were detected when turbidity-mass ratios were examined. The injection of physiological saline suspensions containing increasing quantities of yeast-like cells resulted in proportional decreases in mouse survival times. Conversely, when comparable experiments were conducted with pseudohyphal preparations no significant decreases in survival times occurred. The data indicate that these differences in the lethal response cannot be explained solely on the basis of a variation in the number of viable units or cell mass in corresponding yeast-like and pseudohyphal preparations. Factors contributing to this phenomenon may therefore include altered susceptibilities to host defense mechanisms in the early stages of the infectious process as a result of differences between these yeast-like and pseudohyphal inocula.
We report the case of a 64-year-old man who developed a rapid, right-sided pleural effusion. On initial presentation to the emergency room, the patient had fever and flank pain consistent with a ureteral obstruction (due to a bladder tumor) and associated hydronephrosis that had required previous placement of a pericutaneous nephrostomy tube. After a 10-day stay in the hospital, the patient's urine output ceased. Symptomatic dyspnea with radiographic evidence of a new pleural effusion soon followed. Urinothorax was the etiology of the effusion.
Lethality of Candida albicans was monitored in (C57BL times DBA/2)F1 mice bearing the transplanted Lewis lung carcinoma and in sham-operated controls inoculated with Hanks' balanced salt solution. The lethal response to C. albicans infection was significantly delayed in animals inoculated with the microorganism 6-16 days after transplantation of the Lewis lung carcinoma. Maximal increases in survival times were observed when C. albicans was inoculated 8-12 days following tumor transplantation. Therefore, a delay in the lethal response to C. albicans in this untreated model murine tumor system could be elicited through implantation of the Lewis lung carcinoma; preliminary studies with some other model murine tumors and with cell-free filtrates indicated that this phenomenon is not restricted to the Lewis lung carcinoma.
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