Most cited article - PubMed ID 15530017
Discrimination between Candida albicans and Candida dubliniensis isolated from HIV-positive patients by using commercial method in comparison with PCR assay
Candida dubliniensis was reported as a new species in 1995. This species is often misidentified as Candida albicans. The aims of this work were to determine the occurrence of C. dubliniensis in various clinical materials, to evaluate several ways to identify it and to examine the genetic variability of isolates. Among 7706 isolates originally identified as C. albicans, 237 were identified as C. dubliniensis (3.1%). Most of the C. dubliniensis isolates were obtained from the upper and lower respiratory tract (61.4 and 22.9%). Five phenotypic methods including latex agglutination were used (cultivation on CHROMagar Candida, on Staib agar, at 42 °C and in medium with 6.5% NaCl), but only cultivation on the medium with an increased concentration of NaCl and latex agglutination gave reliable results. Species-specific polymerase chain reaction was used as the confirmation method. Matrix-assisted laser desorption ionization time-of-flight mass spectrometry provided less reliable results. In fact, 78.9% of C. dubliniensis isolates had scores above 1.7. However, the rest of them (21.1%) were also identified as C. dubliniensis even when the scores were lower than 1.7. Divergences among C. dubliniensis strains were evaluated by means of pulsed-field gel electrophoresis. Eighty-six selected C. dubliniensis isolates showed a 69.6% level of similarity. The results of this study expand the knowledge of the incidence, means of identification and genotypic divergence of C. dubliniensis isolates.
- MeSH
- Candida classification genetics isolation & purification physiology MeSH
- Sodium Chloride metabolism MeSH
- Genetic Variation MeSH
- Genotype MeSH
- Candidiasis microbiology MeSH
- Latex Fixation Tests MeSH
- Humans MeSH
- Microbiological Techniques methods MeSH
- Polymerase Chain Reaction MeSH
- Electrophoresis, Gel, Pulsed-Field MeSH
- Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization MeSH
- Temperature MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Names of Substances
- Sodium Chloride MeSH
The relationship between inflammatory bowel disease and microorganisms was evaluated. The presence of Candida albicans-specific IgM and IgG antibodies in serum samples and the presence of C. albicans in stool and colonal mucosa samples of the patients did not exhibit any significant difference between 21 patients in active stage and 15 patients in remission of ulcerative colitis (UC) (compared with 19 control patients). The invasion of yeast cells to the colonal mucosa was demonstrated by detecting C. albicans DNA using specific PCon1, PCon2, and PspA2 primers in PCR assay. Eighteen of 36 patients (50%) were found to be DNA positive while in 19 controls only 4 (21%) were found to be positive. The presence of DNA in the association of the positive serological reactivity is suggested as an important diagnostic marker of UC.
- MeSH
- Models, Biological MeSH
- Candida albicans genetics immunology isolation & purification pathogenicity MeSH
- DNA, Fungal analysis genetics MeSH
- Feces microbiology MeSH
- Immunoglobulin G blood MeSH
- Immunoglobulin M blood MeSH
- Humans MeSH
- Polymerase Chain Reaction MeSH
- Antibodies, Fungal blood MeSH
- Base Sequence MeSH
- Intestinal Mucosa microbiology MeSH
- Case-Control Studies MeSH
- Colitis, Ulcerative etiology immunology microbiology pathology MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Names of Substances
- DNA, Fungal MeSH
- Immunoglobulin G MeSH
- Immunoglobulin M MeSH
- Antibodies, Fungal MeSH