Clinical and microbiological diagnosis of oral candidiasis
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Coronado Castellote, Laura; Jiménez Soriano, Yolanda
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Aquest document és un/a article, creat/da en: 2013
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Introduction: Candidiasis or oral candidiasis is the most frequent mucocutaneous mycosis of the oral cavity. It is
produced by the genus Candida, which is found in the oral cavity of 53% of the general population as a common
commensal organism. One hundred and fifty species have been isolated in the oral cavity, and 80% of the isolates
correspond to Candida albicans, which can colonize the oral cavity alone or in combination with other species.
Transformation from commensal organism to pathogen depends on the intervention of different predisposing factors
that modify the microenvironment of the oral cavity and favor the appearance of opportunistic infection.
The present study offers a literature review on the diagnosis of oral candidiasis, with the purpose of establishing
when complementary microbiological techniques for the diagnosis of oral candidiasis should be used, and which
techniques are most commonly employed in routine clinical practice in order to establish a definitive diagnosis.
Materials and methods: A Medline-PubMed, Scopus and Cochrane search was made covering the last 10 years.
Results: The diagnosis of oral candidiasis is fundamentally clinical. Microbiological techniques are used when
the clinical diagnosis needs to be confirmed, for establishing a differential diagnosis with other diseases, and in
cases characterized by resistance to antifungal drugs. Biopsies in turn are indicated in patients with hyperplastic
candidiasis. Staining (10% KOH) and culture (Sabouraud dextrose agar) are the methods most commonly used
for diagnosing primary candidiasis. Identification of the individual species of Candida is usually carried out with
CHROMagar Candida®. For the diagnosis of invasive candidiasis, and in cases requiring differentiation between
C. albicans and C. dubliniensis, use is made of immunological and genetic techniques such as ELISA and PCR.
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