2018
DOI: 10.1111/lam.13052
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Iranian HIV/AIDS patients with oropharyngeal candidiasis: identification, prevalence and antifungal susceptibility of Candida species

Abstract: The Candida species recovered from oral cavity of 150 Iranian HIV/AIDS patients and their antifungal susceptibility profiles were reported. Candida albicans was the commonest Candida species, followed by C. dubliniensis, C. tropicalis, C. glabrata, C. kefyr and C. africana. All Candida isolates were susceptible to amphotericin B and caspofungin, while resistance to azoles was detected. The growing drug-resistance profile reported in clinical isolates of C. albicans and non-C. albicans strains is a serious prob… Show more

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Cited by 29 publications
(33 citation statements)
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References 28 publications
(67 reference statements)
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“…14 Other factors that predispose oral candidiasis in immunocompetent patients are occlusion trauma, poor oral hygiene, xerostomia, and diabetes. 15,16 Some studies have reported increased virulence of Candida tropicalis in immunocompromised patients; [17][18][19] which is in agreement with the clinical findings of this case report regarding HIV status. It is important to order HIV testing in cases of candidiasis since its association with the virus is common.…”
Section: Discussionsupporting
confidence: 91%
“…14 Other factors that predispose oral candidiasis in immunocompetent patients are occlusion trauma, poor oral hygiene, xerostomia, and diabetes. 15,16 Some studies have reported increased virulence of Candida tropicalis in immunocompromised patients; [17][18][19] which is in agreement with the clinical findings of this case report regarding HIV status. It is important to order HIV testing in cases of candidiasis since its association with the virus is common.…”
Section: Discussionsupporting
confidence: 91%
“…These 30 articles included description of 45 studies related to different yeast species with QPS status, of which 16 referred to Candida kefyr (teleomorph = Kluyveromyces marxianus) Diba et al, 2018;Garc ıa-Agudo et al, 2018;Hasan and Yassein, 2018;Kaur et al, 2018;Khedri et al, 2018;Simi et al, 2019), 8 to Saccharomyces cerevisiae including Saccharomyces boulardii (corresponding to 7 articles: Lazo-V elez et al, Hasan and Yassein, 2018;Kara et al, 2018;, 10 to Candida famata (teleomorph = Debaryomyces hansenii) Cen et al, 2018;Das et al, 2018;Diba et al, 2018;Hasan and Yassein, 2018;Simi et al, 2019), 6 to Candida pelliculosa (synonymus = Pichia anomala, teleomorph = Wickerhamomyces anomalus) Cen et al, 2018;Jung et al, 2018;, 1 to Candida utilis (teleomorph = Lindnera jadinii) , 1 to Hanseniaspora uvarum , 1 Kluyveromyces lactis and 1 to Schizosaccharomyces pombe . One of these articles was considered relevant to evaluate since it presented new data on antimycotic MIC breakpoints for azoles but it is not associated to any specific yeast TU.…”
Section: Yeastsmentioning
confidence: 99%
“…For 32 of those 45 studies, no potential safety concern was reported, while a potential safety concern was described in the other 13 studies (corresponding to 11 articles: Diba et al, 2018;Das et al, 2018;Jung et al, 2018;Kara et al, 2018;Khedri et al, 2018;Afsarian et al, 2018;: 3 for C. famata (Das et al, 2018;Diba et al, 2018;, 7 for C. kefyr Diba et al, 2018;Khedri et al, 2018;, 1 for C. pelliculosa and 2 for Saccharomyces cerevisiae (Kara et al, 2018;. All these studies reported isolation of the QPS yeasts from opportunistic infections in patients with serious predisposing factors.…”
Section: Yeastsmentioning
confidence: 99%
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“…First, overuse of antifungal agents, particulary the azole antibiotics. Second, the introduction of highly active antiretroviral therapy has resulted in a signi cant decrease in the incidence of a number of opportunistic diseases and the mortality of AIDS (4). Resistance of Candida species to the azole antifungals (as the main challenge antibiotic susceptibility) is the most prevalent type of resistance to antifungals in these patients.…”
Section: Introductionmentioning
confidence: 99%