Findings in 50 AIDS virus-infected patients with positive oral Candida cultures.

L. Luangjamekorn, S. Silverman, J. Gallo, M. McKnight, Cesar Migliorati

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Abstract

Oral candidiasis is a common complication of HIV-infected-individuals. The purpose of this study was to evaluate clinical and laboratory findings to assess the impact and efficacy of antifungal treatment. This preliminary report describes findings in 50 HIV-positive, candida culture-positive subjects (49 males, 1 female; mean age: 39 years). The group had been known HIV-positive for a mean of 28 months, and 19 met the CDC/WHO definition for AIDS (63%, KS, 21% PCP). Thirty-four of the fifty patients had oral signs of candidiasis, with almost half having both atrophic (red) and pseudomembranous (white) components. In quantitating the cultures, the higher colony forming unit counts in general were correlated with clinical signs and pain. The other most common oral manifestations were periodontal disease, hairy leukoplakia and xerostomia. The most common candida species was albicans (84%). Response to initial antifungal therapy was satisfactory clinically, but erratic regarding CFU quantitation, species changes, and bacterial emergence. In summary, oral candidiasis is a complex infection with uncertainties as to the significance of quantitation and achieving control.

Original languageEnglish (US)
Pages (from-to)157-164
Number of pages8
JournalThe Journal of the Dental Association of Thailand
Volume40
Issue number4
StatePublished - Jan 1 1990

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Oral Candidiasis
Candida
HIV
Hairy Leukoplakia
Oral Manifestations
Xerostomia
Periodontal Diseases
Centers for Disease Control and Prevention (U.S.)
Uncertainty
Acquired Immunodeficiency Syndrome
Stem Cells
Pain
Infection
Therapeutics

Cite this

Luangjamekorn, L., Silverman, S., Gallo, J., McKnight, M., & Migliorati, C. (1990). Findings in 50 AIDS virus-infected patients with positive oral Candida cultures. The Journal of the Dental Association of Thailand, 40(4), 157-164.

Findings in 50 AIDS virus-infected patients with positive oral Candida cultures. / Luangjamekorn, L.; Silverman, S.; Gallo, J.; McKnight, M.; Migliorati, Cesar.

In: The Journal of the Dental Association of Thailand, Vol. 40, No. 4, 01.01.1990, p. 157-164.

Research output: Contribution to journalArticle

Luangjamekorn, L, Silverman, S, Gallo, J, McKnight, M & Migliorati, C 1990, 'Findings in 50 AIDS virus-infected patients with positive oral Candida cultures.', The Journal of the Dental Association of Thailand, vol. 40, no. 4, pp. 157-164.
Luangjamekorn L, Silverman S, Gallo J, McKnight M, Migliorati C. Findings in 50 AIDS virus-infected patients with positive oral Candida cultures. The Journal of the Dental Association of Thailand. 1990 Jan 1;40(4):157-164.
Luangjamekorn, L. ; Silverman, S. ; Gallo, J. ; McKnight, M. ; Migliorati, Cesar. / Findings in 50 AIDS virus-infected patients with positive oral Candida cultures. In: The Journal of the Dental Association of Thailand. 1990 ; Vol. 40, No. 4. pp. 157-164.
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