☆ 4.2 Article

Distribution of Candida species among HIV-positive patients with oropharyngeal candidiasis in Accra, Ghana

JOURNAL OF INFECTION IN DEVELOPING COUNTRIES (2013)

Journal

JOURNAL OF INFECTION IN DEVELOPING COUNTRIES

Volume 7, Issue 1, Pages 41-45

Publisher

J INFECTION DEVELOPING COUNTRIES

DOI: 10.3855/jidc.2442

Keywords

OPC; HIV/AIDS; candidiasis; resource-limited countries

Categories

Infectious Diseases

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Abstract

Introduction: Oropharyngeal candidiasis is a common occurrence in the course of human immunodeficiency virus (HIV) disease progression. Changes in the clinical severity of oropharyngeal candidiasis and type of Candida species profile may be a reflection of immunological changes in patients. The aim of this study was to undertake a baseline Candida species identification for future reference. Methodology: Oral swabs of 267 HIV-infected patients with oropharyngeal candidiasis were cultured and Candida species were identified by API 32 C. Results: A total of 201 (75.3%) Candida species and 10 (3.7%) non candida fungi were identified. Twenty different Candida species were isolated. Candida albicans was the most prevalent species (68.5%) followed by C. tropicalis (7.4%), C. krusei (6.4%), C. parapsilosis (3.0%) and C. sake (2.5%). Other species ranged from 0.5% to 1.5%. Positive culture was independent of whether patients were on anti-retroviral therapy or not. Conclusion: Of all Candida isolates, 68.5% were identified as C. albicans. Since other uncommon species were also isolated, it may be necessary in this group of patients to identify Candida species causing severe infections.

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