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Asymptomatic oral carriage of Candida species in HIV-infected patients in the highly active antiretroviral therapy era.
Costa, Carolina Rodrigues; Cohen, Ana Joaquina; Fernandes, Orionalda Fátima Lisboa; Miranda, Karla Carvalho; Passos, Xisto Sena; Souza, Lúcia Kioko Hasimoto; do Rosário Rodrigues Silva, Maria.
Afiliação
  • Costa CR; Laboratório de Micologia, Instituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goiás, and Hospital de Doenças Tropicais de Goiás, Goiânia, GO, Brazil.
Rev Inst Med Trop Sao Paulo ; 48(5): 257-61, 2006.
Article em En | MEDLINE | ID: mdl-17086312
Oropharyngeal candidiasis is the most common opportunistic fungal infection in individuals infected with human immunodeficiency virus. CD4+ lymphocytes count and the quantification of viral RNA in blood plasma have been found to be the main markers of HIV disease progression. The present study was conducted to evaluate Candida sp. diversity in the oral cavity of HIV-infected patients and to determine whether there was association of CD4+ cell count and viral load with asymptomatic oral Candida carriage. Out of 99 HIV-positive patients studied, 62 (62.6%) had positive culture for Candida (oral carriage) and 37 patients (37.4%) had Candida negative culture (no oral carriage). The etiologic agents most common were C. albicans and C. tropicalis. The range of CD4+ was 6-2305 cells/mm3 in colonized patients and 3-839 cells/mm3 for non-colonized patients, while the viral load was 60-90016 copies/mL for colonized patients and 75-110488 copies/mL for non colonized patients. The viral load was undetectable in 15 colonized patients and in 12 non colonized patients. Our results showed that there was no significant difference of the variables CD4+ cell count and viral load between oral candida carriage and no oral candida carriage patients.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Candida / Infecções por HIV / Terapia Antirretroviral de Alta Atividade / Boca Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Female / Humans / Male / Middle aged Idioma: En Revista: Rev Inst Med Trop Sao Paulo Ano de publicação: 2006 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Candida / Infecções por HIV / Terapia Antirretroviral de Alta Atividade / Boca Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Female / Humans / Male / Middle aged Idioma: En Revista: Rev Inst Med Trop Sao Paulo Ano de publicação: 2006 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil