• 제목/요약/키워드: Candidiasis

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보건의료 빅데이터를 이용한 유아기 우식증과 칸디다증의 연관성 분석 (Association between Candidiasis and Early Childhood Caries : Analysis Using Healthcare Big Data)

  • 김초록;송지현
    • 대한소아치과학회지
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    • 제47권4호
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    • pp.359-367
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    • 2020
  • 이 연구의 목적은 칸디다증과 유아기 우식증의 연관성을 밝히고, 생후 1년 내의 칸디다증 또는 칸디다 구내염 경험이 유아기 우식증의 위험 인자로 고려될 수 있는지 알아보는 것이었다. 이를 위해 건강 보험 심사 평가원에서 2010년 1월부터 2012년 12월까지 태어난 어린이들의 의료 급여 이용 기록을 제공받았으며, 이 중 치과 진료 기록이 없는 경우는 배제하였다. 연구 대상을 칸디다증 경험 여부, 칸디다 구내염 경험 여부에 따라 나누어 치아 우식 유병률을 비교하였다. 또한 생후 1년 이내에 의료 기록을 갖는 어린이들을 만 1세 이전의 칸디다증 경험 여부, 칸디다 구내염 경험 여부에 따라 분류해 각 집단의 만 1세 이후 치아 우식 유병률을 비교하였다. 칸디다증 또는 칸디다 구내염을 진단받았던 어린이 집단의 치아 우식 유병률은 두 질환을 경험하지 않은 어린이 집단과 유의한 차이를 나타냈다. 만 1세 이전에 칸디다증 또는 칸디다 구내염을 진단받았던 어린이 집단에서 만 1세 이후부터 만 6세 이전까지 치아 우식에 이환된 어린이의 비율은 두 질환을 진단받지 않은 어린이 집단과 의미 있는 차이를 보였다.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 대황황련사심탕(大黃黃蓮瀉心湯)을 투여한 칸디다성 질염 치험 1례 (A Case Report of VulvoVaginal Candidiasis treated by Dahuanghuanglianxiexin-tang based on Shanghanlun provisions)

  • 최주영
    • 대한상한금궤의학회지
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    • 제7권1호
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    • pp.53-63
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    • 2015
  • Objective : This case report show the effect of Dahuanghuanglianxiexin-tang on VulvoVaginal Candidiasis. Methods : According to disease pattern identification diagnostic system based on shanghanlun provisions, The author diagnosed Taeyang-byung kyeolhyung. The symptoms of VulvoVaginal Candidiasis were worsen when the patient had long sitting position and digestive problems. Therefore the patient treated with Dahuanghuanglianxiexin-tang for 3 months. The severity of Candida Vaginitis was evaluated by patient's subjective statements(Vaginal pruritus, Vaginal secretion, Burning sensation). Results : After the treatment, Level of syptoms decreased from Severe to Trace and Eliminated. Conclusions : Dahuanghuanglianxiexin-tang improved the symptoms of VulvoVaginal Candidiasis on this study. Although Dahuanghuanglianxiexin-tang is not an usual treatment for VulvoVaginal Candidiasis, the author could prescribe the medicine due to shanghanlun six meridian patterns diagnostic system.

Clinical Characteristics of Patients with Oral Candidiasis

  • Kim, Ji Hoo;Ahn, Jong-Mo
    • Journal of Oral Medicine and Pain
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    • 제46권2호
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    • pp.33-40
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    • 2021
  • Purpose: Oral candidiasis is the most common fungal infection in the oral cavity which is usually diagnosed from clinical findings. A retrospective study was conducted to identify risk factors for oral candidiasis and to characterize the demographic and clinical features of affected patients. Methods: From January 1, 2019 to December 31, 2019, it consisted of 90 oral candidiasis patients diagnosed based on clinical finding and treated with antifungal drugs. As a retrospective study of those people, surveys were conducted on sex, age, systemic disease, a use of dentures, complaints of dry mouth, smoking and alcohol consumption, culture on potato dextrose agar (PDA) medium, culture on chromogenic agar (CA) medium and a duration of antifungal treatment. Results: Among 90 selected patients, the male and female ratio was 41:49. Overall, female had a higher infection rate than male in all age groups. In this study, oral candidiasis was not clearly susceptible to dry mouth, smoking or drinking, wearing dentures and association with systemic disease. Among 90 patients with oral candidiasis, 83 had colonies formed on PDA medium and 53 had colonies formed on CA medium. The duration of antifungal treatment was highest between 5 and 8 weeks. In addition, there was statistical significance between the culture results in CA medium and the duration of antifungal treatment. Conclusions: Generally, old age or infants, dry mouth, smoking, a use of dentures and endocrine abnormalities are risk factors to increase oral candidiasis; however, in this study, it was mainly found in the elderly aged 60 or older regardless of sex and the incidence of oral candidiasis was not obviously related with patients with dry mouth, smoking or drinking, denture wearers and endocrine abnormalities. Interestingly, when the fungi were cultured in CA medium, the duration of antifungal treatment was increased.

임상가를 위한 특집 2 - 구강 캔디다증 (Oral Candidiasis)

  • 김옥준
    • 대한치과의사협회지
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    • 제48권5호
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    • pp.355-364
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    • 2010
  • The frequency of mucosal and cutaneous fungal infection is increasing worldwide, which is due to the increase of immunocompromised patients. Candida albicans are the principal species associated with human oral mycosis and are known to be the most virulent among pathogenic Candida spp. In this review, oral candidiasis were classified and oral mucosal manifestations of candidiasis were filed. And its diagnosis and management would be reviewed briefly.

정상 면역 기능을 가진 환자에서 성대에 국한되어 발생한 후두 칸디다증 1예 (A case of laryngeal candidiasis confined to vocal cord in an immunocompetent patient)

  • 김보문;김정규;손호진;길부관
    • 대한두경부종양학회지
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    • 제34권2호
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    • pp.39-41
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    • 2018
  • Primary laryngeal candidiasis is rare in immunocompetent patients and is prone to confusion with early glottic carcinoma or leukemia. We experienced a case of 74-year-old man who has 3- month history of hoarseness. The pathologic diagnosis was laryngeal candidiasis. He was treated with antifungal agents for 4 weeks after vocal cord stripping under general anesthesia. After treatment, the patient had no candidiasis or discomfort with his voice. We report this case with a review of literature.

후두백반증으로 발현된 후두 칸디다증 1예 (A Case of Laryngeal Candidiasis Presented as Laryngeal Leukoplakia)

  • 최기용;김영환;명나혜;이상준
    • 대한후두음성언어의학회지
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    • 제28권1호
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    • pp.48-51
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    • 2017
  • Candida exists in the oral cavity as normal flora, which is cultured in 7% of the population. And the development of candidiasis is usually related to the systemic or local immunosuppressed status such as diabetes, long-term antibiotics, steroid, radiation therapy or chemotherapy. However, isolated laryngeal candidiasis in immunocompetent patients is a rare entity with fewer than 40 cases reported in the world. Symptoms of laryngeal candidiasis are variable such as hoarseness, dysphagia, or odynophagia according to its extent, but it has clinical importance because of its resemblance with laryngeal premalignant or malignant lesions. Diagnosis is made by biopsy under direct laryngoscopy with special staining to identify the hyphae. In this article, we report a case of laryngeal candidiasis presented as leukoplakia localized on vocal fold with literature reviews.

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Nystatin에 반응하지 않는 만성 구강 캔디다증 증례에서 Fluconazole의 효과에 관한 보고 (The Effects of Fluconazole on Chronic Oral Candidiasis Refractory to Nystatin: Case Report)

  • 이은진;박원규;고홍섭
    • Journal of Oral Medicine and Pain
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    • 제33권1호
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    • pp.27-33
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    • 2008
  • 구강 캔디다증은 주요 기회감염 균주인 Candida 속(屬) 진균류에 의한 감염성 질환으로 구강점막에 발생하는 진균 감염 중 가장 흔하지만, 만성증식성(chronic hyperplastic type)이나 정중능형설염(median rhomboid glossitis)과 같이 드문 형태의 경우 오진의 가능성이 있고 효과적인 치료법의 결정도 어려운 경우가 있다. 본 증례에서는 만성증식성 구강 캔디다증 및 정중능형설염으로 진단된 환자에서 nystatin 처방에 효과적으로 반응하지 않아 fluconazole을 투여하여 증상의 경감과 치유를 보인 예를 보고하고자 한다.

산란계에서의 칸디다증 국내 발생 사례 (Candidiasis in layer chickens in Korea)

  • 성환우;권혁무;한정희;모인필
    • 대한수의학회지
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    • 제50권4호
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    • pp.323-326
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    • 2010
  • Candidiasis is a mycosis caused by the mycelial yeast of the Candida genus which is opportunistic pathogen of humans, animals, and birds. Under some conditions such as prolonged antibiotic therapy, overcrowding, and immunosuppression, the opportunistic Candida can cause disease. Chicken candidiasis is sporadically occurred and characterized by unsatisfactory growth, listlessness, roughness of feathers, and death. A case of 23 weeks old layer with history of increased mortality and anemia was submitted to our Lab. At necropsy, the characteristic lesions were observed in the crop and proventriculus. The whitish pseudomembrane, that are peeled easily, was found in the crop. Proventriculus was swollen and the mucosa was covered with hemorrhagic exudate. The histological changes of the affected crop are epithelial hyperplasia, hydropic degeneration, and mycelia formation. Smears made from the necrotic mucosal surfaces of the crop revealed the presence of large number of yeast cells and mycelia. Pure cultures of yeast colonies were obtained from the potato dextrose agar. The yeast cells were identified as Candida albicans by gene sequencing. To our knowledge, this is the first report of candidiasis in chickens with anemia in Korea.

Laboratory Diagnosis of Invasive Candidiasis

  • Ellepola Arjuna N.B.;Morrison Christine J.
    • Journal of Microbiology
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    • 제43권spc1호
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    • pp.65-84
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    • 2005
  • Invasive candidiasis is associated with high morbidity and mortality. Clinical diagnosis is complicated by a lack of specific clinical signs and symptoms of disease. Laboratory diagnosis is also complex because circulating antibodies to Candida species may occur in normal individuals as the result of commensal colonization of mucosal surfaces thereby reducing the usefulness of antibody detection for the diagnosis of this disease. In addition, Candida species antigens are often rapidly cleared from the circulation so that antigen detection tests often lack the desired level of sensitivity. Microbiological confirmation is difficult because blood cultures can be negative in up to 50% of autopsy-proven cases of deep-seated candidiasis or may only become positive late in the infection. Positive cultures from urine or mucosal surfaces do not necessarily indicate invasive disease although can occur during systemic infection. Furthermore, differences in the virulence and in the susceptibility of the various Candida species to antifungal drugs make identification to the species level important for clinical management. Newer molecular biological tests have generated interest but are not yet standardized or readily available in most clinical laboratory settings nor have they been validated in large clinical trials. Laboratory surveillance of at-risk patients could result in earlier initiation of antifungal therapy if sensitive and specific diagnostic tests, which are also cost effective, become available. This review will compare diagnostic tests currently in use as well as those under development by describing their assets and limitations for the diagnosis of invasive candidiasis.