Oropharyngeal Candidosis in HIV-Infected Patients—An Update

Oropharyngeal candidosis (OPC) is an opportunistic fungal infection that is commonly found in HIV-infected patients, even in the twenty-first century. Candida albicans is the main pathogen, but other Candida species have been isolated. OPC usually presents months or years before other severe opportu...

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Main Authors: Shankargouda Patil, Barnali Majumdar, Sachin C. Sarode, Gargi S. Sarode, Kamran H. Awan
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-05-01
Series:Frontiers in Microbiology
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fmicb.2018.00980/full
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author Shankargouda Patil
Barnali Majumdar
Sachin C. Sarode
Gargi S. Sarode
Kamran H. Awan
author_facet Shankargouda Patil
Barnali Majumdar
Sachin C. Sarode
Gargi S. Sarode
Kamran H. Awan
author_sort Shankargouda Patil
collection DOAJ
description Oropharyngeal candidosis (OPC) is an opportunistic fungal infection that is commonly found in HIV-infected patients, even in the twenty-first century. Candida albicans is the main pathogen, but other Candida species have been isolated. OPC usually presents months or years before other severe opportunistic infections and may indicate the presence or progression of HIV disease. The concept of OPC as a biofilm infection has changed our understanding of its pathobiology. Various anti-fungal agents (both topical and systemic) are available to treat OPC. However, anti-fungal resistance as a result of the long-term use of anti-fungal agents and recurrent oropharyngeal infection in AIDS patients require alternative anti-fungal therapies. In addition, both identifying the causative Candida species and conducting anti-fungal vulnerability testing can improve a clinician's ability to prescribe effective anti-fungal agents. The present review focuses on the current findings and therapeutic challenges for HIV-infected patients with OPC.
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spelling doaj.art-94cb4adc6adb4119b47afdb0eb2389e52022-12-22T02:30:24ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2018-05-01910.3389/fmicb.2018.00980356560Oropharyngeal Candidosis in HIV-Infected Patients—An UpdateShankargouda Patil0Barnali Majumdar1Sachin C. Sarode2Gargi S. Sarode3Kamran H. Awan4Division of Oral Pathology, Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jizan, Saudi ArabiaDepartment of Oral Pathology and Microbiology, Bhojia Dental College & Hospital, Baddi, IndiaDepartment of Oral Pathology and Microbiology, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pimpri, IndiaDepartment of Oral Pathology and Microbiology, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pimpri, IndiaCollege of Dental Medicine, Roseman University of Health Sciences, South Jordan, UT, United StatesOropharyngeal candidosis (OPC) is an opportunistic fungal infection that is commonly found in HIV-infected patients, even in the twenty-first century. Candida albicans is the main pathogen, but other Candida species have been isolated. OPC usually presents months or years before other severe opportunistic infections and may indicate the presence or progression of HIV disease. The concept of OPC as a biofilm infection has changed our understanding of its pathobiology. Various anti-fungal agents (both topical and systemic) are available to treat OPC. However, anti-fungal resistance as a result of the long-term use of anti-fungal agents and recurrent oropharyngeal infection in AIDS patients require alternative anti-fungal therapies. In addition, both identifying the causative Candida species and conducting anti-fungal vulnerability testing can improve a clinician's ability to prescribe effective anti-fungal agents. The present review focuses on the current findings and therapeutic challenges for HIV-infected patients with OPC.http://journal.frontiersin.org/article/10.3389/fmicb.2018.00980/fullAIDSantifungalsCandidaHIVopportunistic infectionsOropharyngeal candidosis
spellingShingle Shankargouda Patil
Barnali Majumdar
Sachin C. Sarode
Gargi S. Sarode
Kamran H. Awan
Oropharyngeal Candidosis in HIV-Infected Patients—An Update
Frontiers in Microbiology
AIDS
antifungals
Candida
HIV
opportunistic infections
Oropharyngeal candidosis
title Oropharyngeal Candidosis in HIV-Infected Patients—An Update
title_full Oropharyngeal Candidosis in HIV-Infected Patients—An Update
title_fullStr Oropharyngeal Candidosis in HIV-Infected Patients—An Update
title_full_unstemmed Oropharyngeal Candidosis in HIV-Infected Patients—An Update
title_short Oropharyngeal Candidosis in HIV-Infected Patients—An Update
title_sort oropharyngeal candidosis in hiv infected patients an update
topic AIDS
antifungals
Candida
HIV
opportunistic infections
Oropharyngeal candidosis
url http://journal.frontiersin.org/article/10.3389/fmicb.2018.00980/full
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