Investigation of in vitro and in vivo antifungal activity of different plant acetonic extracts against fungal skin isolates. The study investigated the efficacy of plant extracts from Lawsonia inermis, Glycyrrhiza glabra, and Rosmarinus officinalis as antifungal agents. In vitro testing revealed that nystatin was most active against clinical isolates. The acetonic extract of licorice showed high antifungal activity in vitro. In vivo, topical application of licorice gave promising healing responses. The authors propose that 3-O-Methyl-d-glucose, comprising 29.1% of licorice by GC-MS, is likely responsible for its higher ant
Investigation Of Vitro And The Vivo Antifungal Activity Of...
1. Investigation Of Vitro And The Vivo Antifungal Activity Of...
Investigation of in vitro and in vivo antifungal activity of different plant acetonic extracts against
fungal skin isolates
ABSTRACT
T he worldwide increase of multidrug resistance has impaired the current antimicrobial therapy,
warranting the search for other alternatives.This study investigated the efficacy of using plant
extracts; Lawsonia inermis L(Henna), Glycyrrhiza glabra L(licorice) and Rosmarinus officinalis L
(Rosemary) as antifungal agents.Antifungal susceptibility test revealed that nystatin were mostly
active against tested clinical isolates. In vitro antifungal activity of the different plant extracts
against isolates showed that acetonic extract of licorice, had high antifungal activity. In vivo study,
topical application of licorice gave promising and excellent healing response. We propose that the
higher percentage of (GC–MS) of 3–O–Methyl–d–glucose 29.1 %, most probably are the causes of
its higher antifungal activity.
INTRODUCTION
Fungal and bacterial skin infections are of public health concern as they can elicit social, economic
and public health problem (Maseleno and Hasan, 2013). Heavily infected persons with visible
lesions are often unconscious targets of social stigma of rejection isolation because of their
unslightly appearance. The cost of long term diagnosis and treatment can be over bearing for low
income individuals who make up the bulk of developing countries where these infections occur in
epidemic proportions due to poor hygiene. It
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2.
3. Types, Diagnosis, And Treatment
Candidiasis
Introduction
Candidiasis refers to the fungal infection caused by any Candida which is a form of yeast. There are
more than 20 species of candida yeast that might cause illnesses in people, but the common Candida
species is the Candida albicans (Hospenthal & Rinaldi, 2015). However, the yeasts are found in
small amounts in the mucous membrane and skin, and they do not cause infection, but the
overgrowth would lead to infection. Specific drugs and health issues may cause the yeast to
overgrow especially in warm and moist body parts leading dangerous symptoms. The signs and
symptoms of candidiasis depend on the part of the human body that is infected (Contreras &
Fuentes, 2013). Health centers in many nations have reported that Candida species cause fungal
infections leading to hospitalization of patients. The paper focuses on candidiasis by exploring its
causes, epidemiology, types, diagnosis and treatment as well as prevention measures and risk
factors. The thesis of the paper is that candidiasis is a fatal disease that can lead to defects and even
death.
Epidemiology
In the United States, Candida is the third cause of nosocomial bloodstream diseases accounting for
about 8–10 percent of the cases. Moreover, three–quarter of females in America experience vaginitis
during their life with 25 percent caused by Candida (Contreras & Fuentes, 2013). The invasive
candidiasis is the prominent infection among all fungal diseases since it accounts 70 to 90 percent of
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4.
5. Development Of Resistance And Antifungal Agents
Development of resistance to Antifungal agents in candidiasis
Introduction
Patients with HIV/AIDS all over the world are dealing with candidiasis mostly. Literature data point
out that this opportunistic pathogen is the leading cause of superficial and disseminated fungal
infections in humans. 96% mycoses infection are caused by Candida sp (Kourkoumpetis T M. D.,
2010). In healthy individuals Candida colonizes mainly mucosal surfaces of the oral cavity,
gastrointestinal and urogenital tracts without disease symptoms, where most frequently identified
species are C. al–bicans (70%) and C. glabrata (7%) (Pfaller MA, Epidemiology of invasive
candidiasis: a persistent public health problem, 2007). In immunocompromised ... Show more
content on Helpwriting.net ...
Although superficial candidiasis rarely presents a risk to the life of patients, it significantly lowers
the quality of life (Borges M, Fungal infections of the skin: infection process and antimycotic
therapy, 2005) (Rotta I, 2012). The high frequency of occurrence of candidiasis combined with
difficult treatment cause a tendency toward better understanding of C. albicans resistance
mechanisms. Therefore, this review focuses on characterization of antifungal agents commonly used
in treatment and fungal resistance mechanisms. We discuss here several topical and systemic options
for the treatment of candidiasis.
Antifungal agents
For the last three decades, fungal infections have become a major problem worldwide, especially
among the immunocompromised individuals (Pfaller MA, Epidemiology of invasive candidiasis,
2007). Despite that Candida is the leading cause of the opportunistic fungal infections, there is a
limited number of antimycotics available for therapy (Naglik JR, 2003) (Cannon RD, 2009). Perea
et al. (Perea S, 2002) divided antifungal agents commonly used for candidiasis treatment in five
major groups basing on their mode of action; group I: inhibition of RNA and/or DNA synthesis
(fluorinated pyrimidine analogs 5–FC); group II: alteration of the membrane function (polyenes:
nystatin, natamycin, amphotericin B AMB); group III: alteration of cell wall biosynthesis by
inhibition of β(1,3)–glucan synthase (echinocandins: caspofungin,
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6.
7. Vaginal Thrush Research Paper
Vaginal Thrush Vaginal Thrush is an infection caused by yeast called candida albicans. Candida
albicans are among the twenty species of Candida yeast that cause infections in humans. Candida
yeasts are usually harmless and typically live around the vaginal area and on the skin; nevertheless
an overgrowth can cause symptoms to develop. In most cases vaginal thrush symptoms are obvious,
common symptoms include pain, itching and vaginal discharge. Vaginal thrush is a condition that
interferes with the sexual function and sense of wellbeing of a woman. Women who have vaginal
thrush often experience pain during sexual intercourse or when urinating. Thrush that is
symptomatic are categorized as either uncomplicated or complicated. Uncomplicated thrush occurs
occasionally and is mild while complicated thrush is recurrent and becomes more severe over time.
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Options for treatment include a tablet that you can take by mouth, anti–thrush cream that you can
rub on to the vulva (skin around the vagina) and anti–thrush pessaries that can inserted into the
vagina. Despite these treatments high success rates some women have recurring episodes of thrush.
It is estimated that out of the 75% of women who will develop the infection at least once in their
lifetime 5% will suffer from typically four or more infections in a year. Because the vaginas PH
levels are affected by hormonal changes vaginal thrush predominately effects pregnant, menopausal
and women at the start of their period. Although vaginal thrush less commonly effects young
females pre–puberty and post–menopausal sometimes, thrush can transpire in post–menopausal
women if they have diabetes that is not controlled, a severe chronic disease, hormone replacement
therapy (HRT), or if they use
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8.
9. Essay on How to Stop Candida Yeast Infections
Alcohol is prepared through fermentation process using yeasts, and can yeild candida infections and
allergies as an outcome. Therefore, intake of wines, beers and ciders can be the primary reason of
candida infection and should be the number one thing to quit, which could be quite challenging for
majority who suffer from yeast infections. I have mentioned this in other parts of this book as well.
Patients with candida have to give away their love for chocolates and candies, and discontinue with
bread and alcohol till the problem is totally cured. Patients' immunity system degrades due to the
propagation of the yeast in the body.
If within a day after consuming alcohol, if your skin or digestive system get better, in that case the
key ... Show more content on Helpwriting.net ...
An antibody known to be slgA, is usually found in the mucosa and digestive system and with its rise
and fall, helps to ascertain the immunity power of allergic reaction. Patient's test result of blood or
stool, which is usually done who suffers chronic digestion ailments, indicates presence of
antibodies, however it is detection of allergies is more accurate in the blood tests than in stool tests.
To know more go through "Laboratory Testing for Candida Yeast Infections",where you will have
more insight to the ELISA blood test for the IgG/IgA antibody levels and the CDSA x 3 stool tests.
Problems of yeast infections in children
When the yeast syndrome is not correctly and timely detected in candida infected kid by a medical
practitioner (who does not comprehend or well informed about candida), he/she may misinterpret
the case as the kid patient is over active and has low level of learning capacity. A well known
pediatric, Dr.William Crook, the author of "The Yeast Syndrome" observed that his young patients
recovered notably as soon as their overgrown yeast is treated and they resume back to a healthy and
playful life. It is a sorry state of affairs that most of the child specialist doctors do not have enough
knowledge and expertise to diagnose child intestinal dybiosis to treat the illness properly, as
Dr.Crook did.
Candida affected children suffer from numerous allergic disorders that may have impact on many
other areas as well.
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10.
11. Bacterial Vaginosis Case Studies
Bacterial Vaginosis
Last year I experience for the first time a bacterial vaginosis. It was horrible; a long month of
intense itch, soreness and burning whenever I urinated or had intercourse. My mother recommended
I try some over the counter antifungal cream, I purchase Monistat 7 ( Miconazole Nitrate 2%) and it
worked great. I have not had reoccurrence of bacterial vaginosis but I have heard it is very common
to experience a relapse.
Occurs when there is disequilibrium of normal vaginal flora where Lactobacilli decreases in
population below normal and there is an increase of other bacteria. Three common microorganisms
believed to be present and causing agents for bacterial vaginosis include Candida albicans,
Gardnerella vaginalis and ... Show more content on Helpwriting.net ...
Garnerella Vaginalis is gram positive facultative anaerobic bacteria. This bacteria is not susceptible
to the gram staining in diagnosing because it is a gram variable. G. vaginalis has exotoxin
vaginolysin. G. vaginalis grows along with other anaerobic bacteria but it is not believed to be the
cause of bacterial vaginosis but rather a signal of microbial imbalance.
Trichomonas vaginalis anaerobic flagellated protozoan acquiring its nutrients by transport cell
membrane and phagocytosis. L. Lagenaur, B. Sanders–Beer, B. Brichacek, R. Pal, X. Liu, Y. Liu, D.
Venzon, P. Lee, D. Hamer (2011)
Common symptoms of Bacterial vaginosis are extreme itching, pain, soreness, vaginal discharge
followed with a foul odor and painful sexual intercourse. Signs would include a strawberry cervix
and possible bubbles in vaginal fluid.
For diagnosing a sample of vaginal discharge is needed to perform a wet smear, then observe with
microscope to find trichomonads protazoa and clue cells. Another test for diagnosing is the
potassium hydroxide test which aims to find psudohypha and the fishy odor associated baterial
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12.
13. Candida albicans Essay
Candida albicans
Candida albicans is a dimorphic fungus. This means that that C. albicans has to different phenotypic
forms, an oval shaped yeast form and a branching hyphal form. C. albicans normal habitat is the
mucosal membranes of humans and various other mammals including the mouth, gut, vagina, and
sometimes the skin. Normally C. albicans causes no damage and lives symbiotically with the human
or animal host, even helping to breakdown minute amounts of fiber that are eaten in the host's diet.
The normal bacterial flora of the gut, mouth, and vaginal mucosa act as a barrier to the over growth
of fungal infections like C. albicans. Loss of this normal flora is one of the main predisposing
factors to an infection by C. albicans. ... Show more content on Helpwriting.net ...
albicans can gain an advantage over the normal bacterial flora. Two common substances are steroids
and birth control pills. These both act to alter the host's body chemistry in a way that is favorable to
the over growth of C. albicans. If the host is immunocompromised to begin with as in the case of
AIDS patients or organ transplant receivers that are on immunosupresive drugs C. albicans
infections are very prominent. A common symptom among AIDS patients is oral thrush, where there
is a huge over population of C. albicans on the back of the hosts tongue, it appears as white
speckles.
When C. albicans becomes pathogenic, or switches it's phenotype to the hyphal form to invade the
host cell epithelium, be it the mouth or the gut or the vagina; these infections are superficial and can
usually be treated with common anti–fungal agents like fluconazole, diflucan, azole–related anti
fungal drugs, amphotericin B, fungizone ( I think this is the same as amphotericin B). However in
severely immunocompromised individuals like transplant patients or AIDS patients C. albicans can
become systemic. That is the fungus will travel through the blood stream and infect any major organ
it can. When C. albicans has become systemic it is almost always fatal because of the similarity
between the host cells and the fungus, and the lack of a reliable anti fungal drug.
Common symptoms of an oral C. albicans infection include burning pain,
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14.
15. Breastfeeding Research Paper
Breastfeeding may be slightly uncomfortable in the early days, but it should never be a painful
experience. If you are experiencing pain that doesn't go away with a correct latch and isn't due to
plugged ducts, you could have thrush. Thrush is a common fungal infection that affects
breastfeeding moms and infants.
What is Thrush?
The same fungus that is responsible for those dreaded vaginal yeast infections (candida) is the same
fungus that is responsible for thrush. This yeast is a normal part of your and your baby's digestive
system. Under certain conditions, this yeast can overgrow, causing thrush to occur.
Though the symptoms of thrush are painful, it is a harmless condition that can be taken care of with
the right treatment. Because ... Show more content on Helpwriting.net ...
Treatment should bring relief for both and your baby within 48 hours. Pain relievers, such as
ibuprofen, can be taken to lessen the pain during breastfeeding until the treatment begins working.
Make sure to wash your hands thoroughly before and after breastfeeding and after applying the
medication in order to prevent the yeast from spreading.
Because breastfeeding can be painful for both you and your little one during thrush, try pumping to
maintain your milk supply and to provide breastmilk for your baby while your nipples heal. Most
insurance providers will cover the cost of a breast pump with no out–of–pocket cost for you.
Though it may seem like a frustrating (and painful) hurdle in breastfeeding, thrush is a very
common problem that nursing moms and babies experience. With the right treatment, you will soon
be pain–free and enjoying the nursing relationship that you have with your baby
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16.
17. Informative Essay For Yeast Infection
Yeast Infection:–Undoubtedly, yeast looks too bad over body and nobody like to live up one's entire
life in its impact. So if you unfortunately have the impact of yeast infection you must be searching
some aids to cure it. So if you so, the here we have brought some medication which will surely help
you in aiding this horrible disease Candida.
Generally the disease yeast infection has been found within female and mostly women own this
disease and that too in their vagina. So, every year women spend most money to cure this disease, as
there are many sort of medication. Which guarantee to clear off the all symptoms of this disease
from root. Usually, medical treatment Candida is of two types, one is home–made treatment and
another one is OTC i.e. over the counter medication.
Over the counter medication, is an easy way to get relieve from the produced burn and redness of
yeast infection.So it has bought from the sufferers in big quantity, as women can't wait to get relive
from the intense pain produces from yeast infection and likes to cure it secretly at their place, so the
most convenient way is Over the counter medication.
Before heading towards the remedies and other medication of yeast infection, I think, we should
once check out the reason of it, why it generates and what is the reason all behind.
* Usually, the infection occurs in warm and wet body places, such as in mouth, underarms, between
knees or elbow or in vagina and it can be blocked easily by the skin in
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18.
19. Research Paper On Yeast Infection
The superlative way to have a good health and to avoid being ill is to maintain a clean body. Having
a yeast infection symptoms means that your body is not hygienic. Ask anybody who recurrently
suffers from yeast infections what their candidiasis symptoms are, and you will perhaps hear the
same tale. Candida, yeast infections, or thrush are tremendously common ailments, particularly amid
females (although males do get them as well), and the symptoms can be anything from somewhat
irritating to truly agonizing. Everybody from babies to the elderly get candida, so it actually isn't
something that you should be self–conscious about.
Frequently known to the medical industry as candidiasis, yeast infection or thrush is a very galling
fungal infection that both males and females suffer. It is a disease that can sprout in diverse portions
of the body, including the penis and vagina. This fungal infection can also breed on the esophagus,
navel, oral cavity, urinary bladder and pharynx. Yeast infection is usually linked to females. Studies
show that in ladies, seventy five percent has at least experienced it in a lifetime. Fifty percent of
which has underwent several yeast infections. Alternatively, a huge number of males have also
suffered from the same thing. Kids, usually from age three to nine, can be affected ... Show more
content on Helpwriting.net ...
If this ensues, you will begin to experience symptoms such as bloating, constipation, unbalanced
bowel movements, superfluous gas discharge and diarrhea. Along with that, it can also affect your
digestion wherein it only lets you consume smaller quantities of nutrients from the usual food you
consume. Owing to poor food digestion, you will feel the supplementary symptoms of headaches,
feeling less invigorated and being exhausted often. Alternatively, when candidiasis is affecting your
genitals, feelings of ache and itchiness are obvious. There are also occurrences where ladies will
have nasty vaginal
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20.
21. Candida Albicans : An Opportunistic Unicellular Fungus
Candida albicans is an opportunistic unicellular fungus that is apart of our microbiota and can lead
to undesirable infections. This particular microorganism makes up part of the flora in our gut,
mouth, and intestine. The populations of Candida albicans that are present in our body are kept
under control by the bacteria living in our gut. When yeast start to over populate, it is commonly due
to an imbalance in our flora. Furthermore there are many infections that are caused by Candida
albicans and the most common occurring infections cause thrush and vulvovaginal candidiasis.
Moreover many individuals don't have a full understanding of the causes and effects of thrush and
vulvovaginal candidiasis. Both infections are as equally ... Show more content on Helpwriting.net ...
One particular hormone that promotes maintenance and development of the female reproductive
system is estrogen. When women undergo high levels of stress they can easily change their
hormonal patterns [7]. Moreover Vulvovaginal candidiasis is known to commonly occur during a
female's menstrual period. When women undergo a normal menstrual cycle, estrogen gives off
glycogen to the surrounding cells lining the vagina. When hormone production shifts, other
hormones such as progesterone are released at an unfitted time, resulting to the cell death of
Lactobacilli. As a result the glycogen becomes available for the yeast to feed on and multiply. The
change in pH is another important factor that influences the life cycle of Vulvovaginal candidiasis.
Lactic acid is a product of the bacteria Lactobacillus and provides an acidic pH that is less than 4.5
in adult women. [1]. The acidic environment in the vagina allows the acidophilic bacteria such as
Lactobacilli to survive and inhibit the growth of other bacteria. When the pH becomes less acidic it
can lower the amount of Lactobacillus and allow the vagina to become susceptible to unwanted
bacterial and fungal growth [1].
Transmission
Vulvovaginal candidiasis cannot be transmitted from sexual intercourse or an insect bite. Since we
harbor Candida albicans we can only influence their growth through our lifestyle, overuse of
medications and our health implications such as HIV.
Health
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22.
23. Vulvovaginitis Essay
Vulvovaginal candidiasis is one of the most prevalent vaginal infections and represents,
approximately 40%–50% of all cases of infectious vulvovaginitis [22]. The prevalence of RVVC
among childbearing women and its importance as an Egyptian public health problem make an
interest to continue research on such cases to add deep knowledge on RVVC and to understand the
behavior of its pathogen and its epidemiology within Egyptian patients [23]. RVVC and its control
by MBL was studied previously, but unfortunately none of the published papers discussed such
cases in Egyptian patients. In an attempt to fill this gap, this study was designed on 118 childbearing
Egyptian women to find out new therapeutic strategy for RVVC.
The suspected Candida ... Show more content on Helpwriting.net ...
However, some investigators found that MBL serum level was higher in RVVC cases when
compared it to controls indicating that MBL might be defensive against RVVC [13]. On the
contrary, other studies reported that MBL level was lower in RVVC cases compared to controls [12,
32]. Nevertheless, they depended on measurement of MBL in vaginal fluid while in the present
study, MBL was measured in serum. From practical point of view, determination of MBL level in
vaginal discharge is technically too difficult to perform and to standardize. Even more, the entity of
vaginal fluid is changeable throughout menstrual period [33].
The present study could find an association between MBL2 exon 1 codon 54 polymorphism and
susceptibility to RVVC. Carriage of mutant allele "B" was more frequent in women with RVVC
(16.1%) than in controls (6%). In previous studies, MBL2 codon 54 polymorphism has been
associated with increased frequency of RVVC in Latvian, Brazilian, Chinese, and Belgium [12, 32,
34, 35] but not Italian patients [31].
In the present study, analysis of genital hygiene behaviors among wild MBL genotypes estimated
that bad genital hygiene behaviors increased the risk of RVVC by 3.47 times while the risk of
RVVC has been elevated to 18.67 times in the presence of mutant MBL genotypes. These results
supported the fact that RVVC is a monomicrobial; however, it is multifactorial disease in origin
[36]. Moreover, good genital hygiene behaviors
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24.
25. Increasing Trend Of Non Albicans Cutaneous Candidiasis
Increasing trend in Non albicans Cutaneous Candidiasis: Implications in treatment strategies
Introduction:
Cutaneous candidiasis is a secondary infection of the skin (body folds) and nails in predisposed
patients.1 The disease involvement may be localised or generalised to the skin or nails.2
The clinical manifestations of Candidiasis are of three types: mucocutaneous, cutaneous, and
systemic.3 The spectrum of Cutaneous candidiasis (CC): includes intertrigo, diaper candidiasis,
paronychia, and onychomycosis.4 Infections thrush, intertrigo, enterogastritis and others have long
been known to be due to abnormal proliferation of Candida cells.5
Candida species other than C.albicans have become a significant cause of infection in humans.6
Several of these species are less susceptible to commonly used azole antifungal drugs.6
Hence, the identification of the Candida isolates upto species level along with their antifungal
susceptibility patterns can greatly influence the treatment options for the clinicians and may have an
impact on the patient care.7 Hence this study was done.
Aims and objectives:
1. To isolate Candida species from suspected cases of Cutaneous Candidiasis.
2. To speciate the isolated Candida.
3. To find the antifungal susceptibility for voriconazole and fluconazole among the isolates.
Materials & Methods:
A total of 200 patients presenting with the symptoms of Cutaneous
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26.
27. Egg Whites And Other Strange Personal Lubricants That Work?
Title: Egg Whites and Other Strange Personal Lubricants that Work?
Category: Health & Wellness
Tags: lube, sexual lubricants, natural lubricants, organic lubricants
Summary: Lubricant is widely used by women (and men) of all ages. Here's the thing. Some of the
best, nonirritating lubes, although strange, come from your kitchen – or even a house plant. You
don't have to opt for chemically–laden commercial lubricants that may or may not irritate your
sensitive tissue.
Article:
Let's talk lube. When it comes to sex, sometimes we all need a little help to get things moving, so to
speak. But, if you're like me, and worry about chemicals and toxins entering your body, then most–
likely you prefer something less synthetic. And that means ... Show more content on Helpwriting.net
...
Over 100 sexually active women were tested for vaginal infections when the study began and then
again one year later. Researchers found that yeast infections and bacterial infections were most
common among women who reported using petroleum jelly and baby oil, two substances not
intended for the vagina.
Apart from causing infection, commercial lubricants can also contain ingredients that may cause
irritation or allergic reactions in certain people. "Numbing" lubricants containing benzocaine, a
topical anesthetic, and "warming" lubricants, containing menthol or capsaicin could be irritating
when used internally. As well, those fragrant or flavored lubricants could also be potentially
aggravating to sensitive skin. But what about natural lubricants, do they do the job?
Egg whites as a lubricant?
Using egg whites as personal lubricant sounds more like an old wives' tale, particularly since the
protein in egg white is similar to cervical fluid. But is there any validity to this theory? First, let's
consider the fact that eggs can carry salmonella. People infected with Salmonella develop diarrhea,
fever, and abdominal cramps, normally 12 to 72 hours after infection. Although, the illness may last
up to seven days, most people recover without treatment say the Centers for Disease Control and
Prevention (CDC). However, in some cases, the diarrhea may be so severe that the patient needs
hospitalization. If a chicken is infected with salmonella, it's usually present
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28.
29. Candidiasis
Thrush (Adults) overview Candidiasis of the oral mucosa, also called thrush, is a condition in which
the fungus Candida albicans accumulates in the lining of the mouth. Thrush causes creamy white
lesions, usually on the tongue or cheeks. The lesions can be painful and may bleed. Sometimes
thrush can spread to the palate, gums, tonsils and back of the throat.
Although thrush can affect anyone, it is more likely to occur in children, in people who wear
dentures, use corticosteroids or have a compromised immune system. Thrush is less of a problem if
you are healthy, but in the presence of a weakened immune system, the symptoms of oral
candidiasis may be more severe and difficult to control.
Causes–
Thrush and other Candida infections can occur ... Show more content on Helpwriting.net ...
In older children or adolescents who have not previously identified risk factors, a medical condition
may be the cause of oral thrush.
If thrush is the oesophagus–
A lily of the valley that extends into the oesophagus can be serious. To help diagnose this condition,
your doctor will take these tests:
Throat culture. In this procedure, the back of your throat is buffered with sterile cotton and the tissue
sample is placed in culture on a special medium to help determine which bacteria or fungi, causing
the symptoms.
Endoscopic examination. In this procedure, the doctor examines the oesophagus, and stomach using
a flexible tube with a camera on the tip (endoscope).
Treatment–
Treatment for thrush is a complex process that requires an individual approach in each case. The
complex of therapeutic measures includes not only pharmacological effect directly on the pathogen.
Also it produces measures to improve the immunity of the body, treatment of opportunistic diseases
(gastrointestinal diseases, leukaemia, diabetes mellitus), rehabilitation of the oral cavity. It plays an
important role good
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30.
31. Development Of Resistance For Patients With Hiv / Aids...
Rupinder Sekhon Development of Resistance to Antifungal agents in candidiasis
Introduction
Candidiasis is a concern for patients with HIV/AIDS globally. The Literature data point out that this
opportunistic pathogen is the leading cause of superficial and disseminated fungal infections in
humans. 96% mycoses infection are caused by the Candida species1,2,3. In a healthy person, the
Candida colonies that exist are mainly on mucosal surfaces of the oral cavity, gastrointestinal and
urogenital tracts without showing any disease symptoms are most frequently identified as Candida
species such as Candida Albicans (70%) and Candida Glabrata (7%)3,4,5,6,7. In
immunocompromised humans, Candida frequently causes infections ranging from superficial
mucosal lesions to disseminated or infection within the bloodstream6. Candida Albicans is the most
common cause of hematogenously disseminated and fungemia. Candida albicans cause superficial
infections that includes oral and vaginal thrush as well as chronic mucocutaneous candidiasis8.
Being an important causative agent, it makes the condition difficult to treat and morbidity,
superficial candidiasis of the skin, mucosa and nails have become a significant problem worldwide9.
Although superficial candidiasis rarely presents a risk to the life of patients, it significantly lowers
the quality of life9,10. Significantly high frequency of the occurrence of candidiasis, along with
careful treatment.
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32.
33. Candidiasis Research Paper
Candidiasis is known as a fungal infection that can affect many areas of the body from younger
children to senior citizens. Candidiasis has the ability to affect areas such as throat, blood, mouth,
skin and genitals. Candidiasis is caused by an overgrowth of the yeast type of Candida. In the human
body yeast is typically found in small amounts. Yeast has the ability of increasing growth in areas
that are moist and warm on body parts. Symptoms can become very dangerous in some cases and
this can also cause a uncomfortable feeling. Since Candidiasis can be affect in many areas
medications and treatment varies according to the affected location.
Candidiasis affects the mouth or throat which can be called either thrush, oral ... Show more content
on Helpwriting.net ...
Vaginal yeast infections are very common with women. The symptoms include: soreness and
redness in the vaginal area, white, clumpy vaginal discharge that has a similar look to cottage
cheese, painful intercourse and extreme itching in the vaginal area. Yeast infection is possible in
men but with mostly uncircumcised men. The symptoms of men include itching or burning on the
tip of the penis and red rash on penis. Sexual partner can be infected by yeast infection if untreated.
Fortunately, there are many over–the–counter treatments for yeast infections available. Creams are
available as a treatment and also a physician may recommend a single, 150–milligram dose of
Diflucan (fluconazole). It is very important to see a physician rather than self diagnosing. If the
infection returns it is possible that antifungal medicine is needed to be taken everyday for 10 to 14
days and then once a week for 6 months. If a person frequently get yeast infection a physician would
further look into this matter to see what exactly is causing the reoccurrence. A physician may
suggest that you take a probiotic. Probiotic are known as healthy bacteria which are found in many
yogurts such as Activia, some foods and even
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34.
35. Bacterial Vaginosis
Summarize the topic and research problem to illustrate the significance of the clinical problem (2–3
sentences)
Bacterial vaginosis (BV) is the most common vaginal infection in women ages 15–44 (Centers for
Disease Control and Prevention [CDC], 2017). BV infection occurs in sexually active women and is
linked to an imbalance of bacteria in the vagina. Douching and new or multiple sexual partners
increases the risk of getting BV.Researchers do not know the cause of BV or how some women get
it (CDC, 2017). The significance of the study was to evaluate the vaginal bacteria levels from
healthy women and women with bacterial vaginosis (BV) The health care providers should provide
consistent education on BV. Most importantly, the women want ... Show more content on
Helpwriting.net ...
In other words, do not include strengths such as "this was a well–done study that highlighted the
importance of assessing for depression". While this may be true, it does not address how the study
was conducted. Specify what made the study "well–done". Along the same lines, be specific about
limitations in how the study was conducted.
The two strengths were the study enhances the observation made by other authors by measuring
levels of specific bacterial species. G. vaginalis concentrations increased with menses in 81%
monitored menstrual cycles, and levels decreased with the end of menstruation. During these surges
of G.vaginalis, L iners levels also trended upwards while levels of the other two lactobacilli
decreased. Schwebke et al, have similarly reported increases in Gardnerell/ Bacteroides morpho–
types by gram stain and reduced quantities of lactobacilli during
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36.
37. Summary: Do Probiotics Kill Candida
Do probiotics kill candida? This is the question we will try to answer in this article. Studies show
that about 1/3 of the American population suffers from candida infection and this number keeps
growing by the day. Before we answer the question as to whether probiotics can eliminate yeast
infection, let's first look at what candida is.
Candida also called candida albicans is a yeast infection caused by an abnormal growth or
multiplication of yeast cells in the body. Yeast normally resides in the skin, mouth, intestines and
other parts of the body; it does not cause any problem unless there is an overgrowth, which results in
a fungal infection.
This overgrowth is normally triggered by compromised immune system. Other things that can cause
increase in yeast ... Show more content on Helpwriting.net ...
Candida infection could also lead to more serous problems of the internal organs like the liver, heart
and the nervous system.
Hence, it is important that you seek treatment immediately you notice that you have contracted the
infection. All the same you can prevent candida by eating healthy diet; avoid too much starch or
simple sugars; go for foods that are rich in fiber. Dietary fibers are proven to help keep the digestive
tract in order. It is also advisable to take anti–fungal medicines whenever you are taking antibiotics.
So do probiotics kill candida? Probiotics are good bacteria that aid digestion, and improve the
immune system. The truth is that most of the diseases start from the gut; thus balancing your
digestive system helps a lot in preventing and relieving infections and diseases.
Regular consumption of probiotics helps to increase the number of good bacteria in the intestines
and improves your digestive health. The good bacteria are also proven to boost the immune system.
In other words, a stronger immune system coupled with a healthy digestive tract help to get rid of
diseases including
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38.
39. Common Infection Among Women During Child Bearing Period
Vulvovaginal candidiasis (VVC) is a common infection among women, it can affect up to 75% of
women during child–bearing period. VVC usually associated with considerable morbidity;
symptoms include intense pruritus, vaginal discharge and dyspareunia. Many factors have been
identified to predispose to such condition such as oral contraceptive pills, pregnancy, uncontrolled
diabetes mellitus and long–term broad spectrum antibiotic (Cassone, 2015, Falagas et al., 2006).
Beyond the normal host, the range of patients at risk for invasive candidiasis expand to patients with
acquired immunodeficiency syndrome, those immunosuppressed due to cancer therapy and organ
transplantation (Bassyouni et al., 2015a).
Recurrent VVC (RVVC) is a more serious condition due to recurrences of symptoms (>4/year) and
refraction to successful treatment. Long–term fluconazole therapy may help in delaying the
recurrences but does not result in a long–lasting cure (Sobel et al., 2004). Maintenance and
preventive therapy is essential for six months but, patients may need to stay on medication for a
longer period (Ringdahl, 2000).
Recent epidemiological studies founded the prevalence of RVVC higher than that reported
previously as the recurrence rate about 7–8% of women who experience a first episode and the
discomfort associated with RVVC is intense which markedly affects the quality of life of young
women with a strong negative impact on work and social life (Cassone, 2015).
Candida albicans was reported
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40.
41. Candida Infection
Normally, a number of different kinds of Candida species are present in the body, but they don't
cause any harm. However, whenever the body experiences stress or the immune system is
compromised, the fungus can proliferate excessively and invade the bloodstream, which can lead to
a systemic Candida infection. This results in the many toxic effects of this fungus.
Here we describe some common causes of Candida overgrowth:
Antibiotics: Antibiotics are responsible for killing off the harmful bacteria in the body, but, in the
process of doing so, they also kill off the healthy bacteria which decreases the number of good
bacteria in the gut, deregulating the amount of Candida which will then begin to multiply. Due to
this gut imbalance, Candida
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42.
43. What Is Mucosal Candidiasis?
Mucosal candidiasis is a fungal infection that has become more common as increasing numbers of
people undergo long–term immunosuppressive therapies, antibiotic treatments or use of prescription
drugs that reduce salivary function or changes in vaginal environment. It is estimated that several
millions of people across the world acquire oral candidasis each year, yet the choices in antifungal
drugs therapy are limited and these drugs result in development of drug resistant strains. The
detailed functional characterization of Zinc transporter and genes related to zinc metabolism will
elucidate the pivotal role of pathogen zinc binding proteins during the infection process. As active
zinc deprivation by host represents an important antifungal
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44.
45. Candidemia Research Paper
Candida is a yeast responsible for the majority of the systemic fungal infections in humans. The
occurrence of nosocomial bloodstream infections (candidemia), has risen considerably in latest
years, [1] being the fourth pathogen isolated in blood cultures in the North America[2]. In Europe, it
ranks among the fifth to tenth most frequently isolated microorganism [3] and in a global assessment
of intensive care units (ICUs), the incidence of candidemia was found to be 6.9 per 1000 patients.
Whereas general incidence of candidemia has raised, possibly due to a growing number of patients
with compelling diseases and risk factors for candidemia, health care units such as ICU or stem cell
transplant units have noticed a decrease in candidemia after using fluconazole prophylaxis [4]. The
list of risk factors is long, where immunocompromised patients, such as those suffered from solid
tumors or hematological malignancies are at the highest threat for developing candidemia, also other
well known risk factors include ICU stay, prolonged antibiotic use or multiple invasive procedures.
More lately, patients groups characterized by several comorbidities, such as elderly, require for
parental nutrition, are increasingly being documented as being at risk of candidemia. ... Show more
content on Helpwriting.net ...
This change in the epidemiology of candidemia represents an important challenge for empirical
management strategies because some species of non–albicans such as Candida glabrata and Candida
krusei exhibit a resistance or variable susceptibility to azole antifungal. IDSA guidelines suggest that
Fluconazole for stable patients and echinocandins in the presence of haemodynamic instability,
previous use of fluconazole or for patients who are at high risk of infection due to C.glabrata or C.
krusei
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46.
47. Oral Candidiasis
Candidiasis, recurrent herpes labialis and recurrent aphthous stomatitis, hairy tongue, erythema
migrans, and lichen planus are the most type of common superficial oral lesions. Diagnosis of such
lesions requires history taking, performing a complete oral examination and knowledge of clinical
characteristics. Oral candidiasis may present as pseudomembranous candidiasis, glossitis, or
perleche (angular cheilitis) (Gonsalves et al. 2007). We performed a study to determine the
frequency of seven tongue abnormal conditions in patients attended in the Screening Clinic of Oral
Medicine Department of Dental School in Shiraz, Fars providence, Iran. A total of 112 adults that
aged between 15–58 years old were clinically examined punctilious observation using dental ...
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2013). Oral candidiasis is common in infants, but in adults it may signify immune deficiency or
other illness. Herpes labialis typically is a mild, self–limited condition. Recurrent aphthous
stomatitis most often is a mild condition; however, severe cases may be caused by nutritional
deficiencies, autoimmune disorders, or human immunodeficiency virus infection (Gonsalves et al.
2007). Recurrent aphtous stomatitis (RAS) is one of the most common oral lesions and is a well–
known oral disease with unclear etiopathogenesis for which symptomatic therapy is only available.
RAS is characterized by the appearance of initially necrotic ulcers, with well–defined limits
surrounded by an erythematous halo. The lesions are located on the oral mucosa, but are infrequent
on the gums. The disease manifests in the form of outbreaks, with a chronic and self–limiting course
in most cases RAS is the most frequent chronic disease of the oral cavity, affecting 5–25% of the
population. It is more common in patients between 10–40 years of age, and predominantly affects
women and individuals of higher socioeconomic levels (Belenguer–Guallar et al.
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48.
49. Anidulafungin Case Study
Response: Anidulafungin is a semi–synthetic echinocandin with antifungal activity. This agent is
selective for fungal cells as it inhibits glucan sythase enzyme and therefore inhibits the synthesis of
1, 3 beta D glucan which is essential for the fungal cell wall. According to Micromedix
anidulafungin is approved for adults and pediatrics older than 16 years to treat candida related
infections. Anidulafungin is administered as a continuous IV infusion and has good efficacy against
Candida species and Aspergillus species. It is suitable to be used in immuno–compromised patients,
patients with azoles refractory infections and in those with renal impairment. However, this agent is
not approved by the FDA to be used in pediatric population younger than 16 years; yet some limited
studies have been done on this population to examine the safety and efficacy of anidualfungin; the
results of these trials are promising although more studies are needed. ... Show more content on
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The recommended dose for children in this guideline is (3 mg/kg loading dose followed by
maintenance dose of 1.5 mg/kg/day), but because of the small body of evidence supporting the use
of anidulafungin; the recommendation level is low (BII). The use of anidulafungin in neonates is not
recommended by ESCMID
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50.
51. Candidiasis: Fungal Infection
Candidiasis is a fungal infection that is caused by yeast belonging to the Candida family. There are
upwards of 20 different species that are associated with Candida that can cause infections for
humans, the most common of which are Candida albicans and Candida auris in healthcare settings.
Although, Candida lives throughout the body causing no harm, an overpopulation can make
symptoms arise and infection to occur. Candida is normally found in the intestinal tract or on your
mucous membranes and skin. With overpopulation of these Candida albicans, common infections
can occur like thrush or yeast infections. Thrush, or oropharyngeal candidiasis is the infection of the
mouth. Yeast infections commonly occur in the vagina of females. (CDC Candidiasis, ... Show more
content on Helpwriting.net ...
This is done to prevent the spread to a roommate and potentially increasing the number of people
infected. It is also recommended that both standard and contact precautions are used. Contact
precautions should stay in place as long as there is a high colonized count of Candida auris present
in the patient. It is also important to educate the patient on hand hygiene. This will be a lesson not
only for the prevention of the spread of the infection, but also staying clean and healthy and
preventing the spread of any future pathogens. Providing room disinfection daily will also help to
stop the spread of Candida auris, as well as limit any traces of it on surfaces within the room or
home setting. It is recommended by facilities to use hospital grade infection control disinfectant
agents to do so. (CDC Candida auris, 2017, page
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52.
53. Antifungal Drugs Literature Review
Review of Literature
REVIEW OF LITERATURE
Classification of antifungal drugs: Barar (2000) reported that, the antifungal drugs may be classified
as:
1– Antifungal antibiotics:
Griseofulvin.
Polyenes (Nystatin,Natamycin,Hamycin and Amphotericin B). 2–Synthetic antifungal agents:
Flucytosine,Cotrimoxazole,Dapsone,Haloprogin,Imidazoles, Clotrimazole, Miconazole, Econazole,
Ketoconazole, Isoconazole, Sulconazole and Tioconazole.
Triazoles: Fluconazole and Itraconazole. 3–Miscellaneous antifungal agents:
Hydroxystilbamidine, Potassium iodide, Tolnaftate, Undecylenic acid, Clioqinol, Terbinafine,
Ciclopirox olamine, Triacetin, Benzoic and Salicylic acid. Abuhammour and Habte–Gabr (2001)
reported that, fungal infections have been classified into two distinctive classes: systemic and
superficial. Consequently antifungal agents are classified under two major headings, systemic and
topical agents .There are only a few systemic antifungal drugs available for use and these are
polyenes (Amphotericin B), pyrimidines (Flucytosine), azoles (Ketoconazole,Fluconazole and
Itraconazole) and Griseofulvin. Brenner and Stevens (2006) recorded that, antifungal drugs are
classified as:
Polyene antibiotics(Amphotericin B,Natamycin and Nystatin).
Azole derivatives(Clotrimazole,Econazole, Ketoconazole, Voriconazole, Fluconazole and
Itraconazole).
Allylamine drugs(Naftifine and Terbinafine).
Other antifungal drugs (Caspofungin, Ciclopirox,
... Get more on HelpWriting.net ...
54.
55. Persuasive Speech About Candida
You might be wondering, what is Candida?
Candida is a fungus, which is a form of yeast, a small number of normal lives in our mouths and
intestines. Her job is to help digestion and absorption of nutrients, but when you multiply
excessively, candida passes through the intestinal wall and enters the blood stream, continuously
releasing toxic nusprodukate. This can lead to various health problems, from digestive problems and
even depression. If you were when you get symptoms of candida should immediately start treatment
...
How to get Candida infection and what are its symptoms?
Healthy bacteria in the stomach usually keep candida levels under control. However, several factors
can lead to overpopulation of Candida begins to multiply:
If you ... Show more content on Helpwriting.net ...
This checks the level of candida in the colon and stomach. The laboratory can usually determine the
type of candida which is essential for effective treatment. (Note: Be sure that your doctor ordered a
comprehensive test chairs instead of the standard test.)
urine test
If you have symptoms of Candida Be sure to test the urine.
This test detects the waste product known as Candida D– Arabinitol. Elevated levels indicates the
presence of candida. This test will determine whether there are candidates in the upper stomach or
small intestine.
How to treat candida?
Effective treatment of Candida includes stopping reproduction, restoration of friendly bacteria
Candida usually kept under control, and the healing of the stomach, so that the candidates can no
longer enter the bloodstream.
The release of Candida primarily requires changes in diet and eating foods low in carbohydrates.
Sugar is what feeds Candida, while eliminating sugar in all its simple shapes such as candy, snacks,
alcohol and flour prevents the proliferation of Candida and the appearance of its
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56.
57. The Discovery Of Fluconazole, Crystalline Powder, And, An...
Leighton Wireman
PHBS 2901.01
Dr. Christoff
30 March 2016
Fluconazole
Background/History
Fluconazole is a white, hygroscopic, crystalline powder, and is an orally active bistriazole antifungal
agent.1 The discovery of fluconazole was a milestone in the pharmaceutical industry because it was
the first antifungal drug that could be used both orally for minor infections, and intravenously for
serious systemic infections. The development and use of antifungals continues to become more of a
necessity as the need for protecting immunosuppressed and HIV patients from developing fungal
infections increases.2
Although fungal thrush was recorded to be a fatal disease as early as the 1600s, the development of
antifungals did start until the 1900s ... Show more content on Helpwriting.net ...
These turning points led to the formation of several bis–triazoles. The first was a chloroacetyl
derivative, which was reacted with 1,2,4–triazol to yield a ketone, which was then converted to an
epoxide and then opened, resulting in the first bis–triazole derivative. The second approach required
converting dichloroacetone to dichloropropanol derivative and reacting it with 1,2,4–triazole, which
produced the second bis–triazole. These bis–triazoles were then synthesized in a large number of 2–
substituted 1,3–bis–triazolylpropan–2–ol derivatives. Out of the tested derivatives, it was found that
the 2,4–difluorophenyl analogue was water soluble, meaning it was could be used intravenously;
hence the successful development of fluconazole.2
Chemistry
Fluconazole, which is a systemic triazole, has a molecular weight of 306.27 g/mol. The drug should
be stored in airtight containers at 30°C. The chemical name for fluconazole is 2–(2,4–
Difluorophenyl)–1,3–bis(1H–1,2,4–triazol–1–yl)propan–2–ol, and chemical structure (Figure 1) is:
Figure 1. Diflucan [Package Insert]. New York, NY: Pfizer Inc., March 2013.
It is soluble in alcohol, toluene, and acetone, and slightly soluble in chloroform, isopropyl alcohol,
and water.4
Diflucan– the brand name for flucnonzaole– in oral suspension contains 350 mg or 1400 mg of
fluconazole and the
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58.
59. Oral Trush: The Infection Of Oral Candidiasis
Overview
Oral thrush, also called oral candidiasis, is an infection of the mouth caused by the candida albicans
fungus – better known by its common name of yeast. Besides the mouth, the same fungus can cause
vaginal yeast infections in women and diaper rash in infants. Oral thrush is most commonly seen in
older adults, babies and toddlers, patients who use steroid sprays to treat asthma, and those with
weakened immune systems due to other conditions like HIV, cancer, and diabetes.
The fungus is always present in small amounts within the mouth, skin, and digestive tract of healthy
individuals and is normally kept under control by other microorganisms and bacteria. Events such as
stress, illness, and the use of medications like birth control pills and corticosteroids can occasionally
disrupt that balance in such a way that the candida fungus is allowed to grow unchecked, which
leads to the development of oral thrush.
Symptoms ... Show more content on Helpwriting.net ...
The most common complaint from patients is white sores on the inner cheeks or tongue that
resemble cottage cheese. Other common symptoms include:
Pain when
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60.
61. Symptoms And Treatment Of A Candidiasis
6. Discussion Vulvovaginal candidiasis is one of the most prevalent vaginal infections and
represents, approximately 40%–50% of all cases of infectious vulvovaginitis . Most episodes of
symptomatic disease are acute attacks of VVC. While some women suffer from daily and chronic
symptoms of the disease (CVVC), others suffer from recurrent episodes being entirely free between
the episodes (RVVC). Therefore, the definition of RVVC requires occurrence of at least 3
symptomatic episodes of VVC in the previous 12 months, although some investigators require 4
symptomatic episodes . Vaginal colonization by Candida spp. occurs in low numbers and follows
adherence of Candida to vaginal ECs. Colonization can persist for months or years in healthy
women not susceptible to RVVC where Candida lives in symbiotic relationship with vaginal
microbiota. The breakdown of this relationship results in symptomatic infection and originates from
either favored overgrowth of Candida or defect in host defense mechanisms . Both subjective health
status and health related quality of life are markedly reduced during and in between episodes in
women with RVVC even in those receiving long term antifungal therapy as recommended by
guidelines . Besides, the chronic use of ketoconazole can result in significant side effects such as
liver toxicity which is not seen with the more tolerated antifungal agent; fluconazole. However, long
term therapy with fluconazole although reduce the rate of RVVC was not
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62.
63. Candida Overgrowth : A Gastrointestinal Disorder
Candida Overgrowth – A Gastrointestinal Disorder
Definition: Candida albicans is an opportunistic fungal infection, part of the yeast family. In a
healthy individual, C. albicans lives synergistically within the digestive tract, vaginal tract, and to a
lessor extent on the skin. However, when the immune system is weak or beneficial flora is
eliminated, C. albicans colonizes, invading healthy mucosal tissues (Berman & Sudbury, 2002, p.
919).
Etiology: Candida is a group of about 150 yeast species with C. albicans accounting for 70–80% of
all candida infections. Candida resides on skin and mucous membranes, including the GI tract
(Aaron, 2015). In normal circumstances and in healthy individuals, C. albicans is controlled by
beneficial ... Show more content on Helpwriting.net ...
80). When untreated, C. albicans may eventually enter the bloodstream, an infection known as
candidaemia. This infection in the blood then has the opportunity to progress to the growth of fungal
masses in the kidney, heart or brain and can become life threatening (Berman & Sudbury, 2002, p.
919). Although men suffer, women are eight times more likely to experience over growth of C.
albicans due to the effects of estrogen, birth control pills and more frequent use of antibiotics
(Murry, 2000, p. 56).
Contributing factors for C. albicans overgrowth include the use or prolonged use of antibiotics, birth
control pills, steroid medications and high consumption of sugar. The use of these drugs creates an
imbalance of flora in the digestive tract overpowering the beneficial bacteria (Lipski, 2012, p. 80).
Other contributing factors include decreased digestive secretions, dietary factors, impaired
immunity, nutrient deficiency, and impaired liver function (Pizzorno & Murry, 2013, p. 463). In the
case of a depressed immune system, triggers (e.g. antibiotic use or nutrient deficiency) allow the C.
albicans overgrowth to burrow further within the lining of the GI tract. Thus, allowing the
overgrowth to compete with cells and the body for nutrients, leading further into a nutrient deficit.
As the overgrowth continues to flourish, C. albicans secretes mycotoxins and antigens further
depressing the immune system (Pizzorno & Murry, 2013, p. 464).
Symptomatology: Symptoms can
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64.
65. Candidiasis And Diabetes
Candidiasis is a disease in which a fungal infection of the mucous membranes is found in the mouth
and throat. The organism may cause infections in other locations, such as nails, skin (diaper rash),
vagina, and the gastrointestinal tract. There are many types of fungus that live in the human body
including candida. Candida is a type of yeast that normally lives in small amounts in areas like your
mouth and belly, or skin without causing any issues. The immune system and the body's bacteria
usually keep Candida in balance. When this balance is interrupted, it can result in an overgrowth of
the Candida fungus, causing it to get infected. The infection is called Candidiasis. There are several
different types of candidiasis, such as Thrush (Oropharyngeal Candidiasis), Genital Yeast Infection
(Genital Candidiasis), Diaper Rash From Yeast Infection, and Invasive Candidiasis. ... Show more
content on Helpwriting.net ...
It is most common among newborns, the elderly, and people who have a weak immune system.
People who are treated for cancer, wear dentures, and diabetes have a higher risk of contracting this
disease as well. Signs and Symptoms include: white or yellow patches on the tongue, lips, gums, or
roof of the mouth, redness or soreness of the mouth or throat, cracking at the corners of the mouth,
and pain when swallowing. Thrush is treated with antifungal medicines like nystatin, clotrimazole,
and fluconazole. In people with weak immune systems, rinsing the mouth with chlorhexidine (CHX)
mouthwash may help prevent the
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66.
67. Clinical Definition Of Clinical Context
Clinical Context
Patient, JD, is a 50–year–old Caucasian male with a past medical history of polysubstance abuse
who presented to outside hospital with shortness of breath and chest pain who developed
cardiogenic shock complicated by shock liver and renal failure and was transferred to Henry Ford
Hospital for elevation of care. The patient was admitted to the intensive care unit (ICU) upon
arrival. While in the ICU, patient developed a fever with leukocytosis and patchy infiltrate on CXR
and was treated for HCAP. Blood cultures were drawn at that time that grew yeast, possibly related
to a line infection. Lines were removed and patient was started on fluconazole. Fungal cultures
drawn grew Candida krusei and Fluconazole was switched to anidulafungin. Infectious Disease was
consulted suggesting total duration of anti–fungals of 2 weeks for candidemia. Repeat blood cultures
drawn after treatment were negative and patient's clinical status improved on anidulafungin
treatment. This patient had spent a total of 21 days in the ICU. C. krusei is known to have intrinsic
resistance to fluconazole5, which is why treatment was switched to anidulafungin, a semisynthetic
echinocandin. However, invasive candidiasis and candidemia with other strains of Candida species
are prevalent in severely ill patients and the proper treatment of such infections should be
investigated.
Clinical Question
Is anidulafungin superior to fluconazole for treatment of candidemia and invasive candidiasis in
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68.
69. How Candidiasis Is A Fungal Infection Caused By Yeasts
Candidiasis: Overview and Causes
Candidiasis is a fungal infection caused by yeasts that belong to the genus Candida. There are at
least 15 distinct Candida species that cause human disease, but >90% of invasive disease is caused
by the 5 most common pathogens, C. albicans, C. glabrata, C. tropicalis, C. parapsilosis, and C.
krusei with candida albicans being the most prevalent.(Ostrosky–Zeichner et al., 2015) Candida
yeasts normally reside in the intestinal tract and can be found on mucous membranes and skin
without causing infection; however, overgrowth of these organisms can cause symptoms to develop.
Symptoms of candidiasis vary depending on the area of the body that is infected.(CDC, 2016e)
The different types of Candidiasis are determined by the area of the body they affect. Oropharyngeal
candidiasis, otherwise known as Thrush, inhabits the buccal cavity or throat. Candidiasis of the
vagina is commonly referred to as a yeast infection. The most clinically significant version of
candidiasis is invasive candidiasis, which happens as a result of a candida species entering the
bloodstream and spreading throughout the body. Invasive candidiasis is primarily found in
immunocompromised patients such as those suffering from HIV, undergoing corticosteroid therapy,
chemotherapy, or those with diabetes.
Candidiasis: Signs and Symptoms and Sequelae
Thrush is relatively easy to recognise as white patches can be observed on the tongue and other oral
mucous membranes. Symptoms
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70.
71. Questions On Drug Information Services
UNIVERSITY OF RHODE ISLAND
COLLEGE OF PHARMACY
DRUG INFORMATION SERVICES
Formulary Monograph
DATE: May 2015
DRUG REQUESTED:1 Posaconazole (poe–sa–KON–a–zole)
TRADE NAME:1 Noxafil®
MANUFACTURER: 1–3 Merck Sharp & Dohme Corp.
PHARMACOLOGIC CLASS:1–3 Azole antifungal
AHFS CLASSIFICATION NUMBER:4 8.14.08
EXECUTIVE SUMMARY:
Posaconazole is an azole antifungal indicated for the prevention of invasive aspergillus and candida
infections in severely immunocompromised patients, and for the treatment of oropharyngeal
candidiasis in HIV patients and oropharyngeal candidiasis refractory to fluconazole and
itraconazole.3 Posaconazole is available in delayed release tablets, an oral suspension, and as an
intravenous injection.2
Posaconazole is approved for adults and children 13 years of age and older who are at a high risk of
developing aspergillus or candida infections including hematologic malignancies, chemotherapy
induced neutropenia, and stem cell transplant recipients with graft–versus–host disease. The
Infectious Diseases Society of America recommends posaconazole as first line therapy for
prophylaxis of invasive aspergillus infections in these patients and as first line for prophylaxis in
candidiasis in chemotherapy induced neutropenia and stem cell recipients with neutropenia. The
IDSA recommends posaconazole for the treatment of oropharyngeal candidiasis that is refractory to
fluconazole or itraconazole, or in patients with
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72.
73. Fluconazole: Drug Analysis
Fluconazole is a drug used to treat yeast and fungal infections and it is a part of the triazole group
(2). It is used to target candidiasis that invades the mucosal layer, dermatomycosis, cryptococcal
meningitis and onychomycosis (2). Fluconazole is a hydrophobic drug that can be administered both
orally and intravenously. For adults the dosage ranges from 150–400 mg for the first dosage and
after the first one, the dosage decreases for Candidiasis infections (3). For children the dosage
ranges from 6–12 mg/kg for the first day after that it decreases to approximately 3 mg/kg for a
minimum of 3 weeks (3).
Mechanism of Action
The fungal cell membrane is double membranous and contains proteins but a distinguishable
characteristic is the presence ... Show more content on Helpwriting.net ...
For elderly people the pharmacokinetics varies. A study was conducted that included evaluating 22
elderly volunteers (>65 years old) receiving a 50 mg oral dose of the drug (4). The peak plasma
concentration was 1.54 mcg/mL and it took place 1.3 hours after the dose. The area under the curve
(AUC) for the elderly volunteers was 76.4 mcg*h/mL. Compared to young individuals the AUC was
much greater for the elderly, suggesting that the ability to clear out the drug decreases in elderly
patients thus more of it is absorbed in the body (4). Furthermore, creatinine clearance and the
amount of drug recovered in the urine were also much lower in the elderly because of the reduced
renal function (4). In normal volunteers, the drug was mainly cleared by the kidneys with around
80% of the drug that was administered appearing in the urine as unchanged (1).
Toxicity
Fluconazole should not be taken if patients are allergic to azole substances. Fluconazole should also
not be taken with the following drugs, erythromycin, cisapride, and pimozide (1)(3). These drugs are
known to inhibit the function of the enzymes (P450) present in the liver that function to clear the
drug from the blood stream. Drug levels can increase and possibly lead to
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74.
75. Yeast Candidiasis Research Paper
Candidiasis also known as Thrush is an infection caused by the yeast Candida. It's found in women,
newborn infants, and adults with poor immune systems. It is known to cause mouth and vaginal
infections that arent life threatning but very annoying. It can be found in almost everyone but causes
only mild problems to the body. The candida organism is present in 30 to 55% of healthy young
adults. About 55% of women are infected with vaginal candidiasis at least one time in their life. It is
the fourth most commonly isolated organism from blood cultures. It is also the most common cause
of fungai infections with poor immune systems. There are two types of Thrush one oral and the
other deep organ. Oral can appear on the tongue, inside the cheeks, and the palate of the mouth. It
often occurs to people with abnormal immune systems. Also ... Show more content on
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Vaginal Candidiasis experience severe vaginal itching, discharge that often looks like cottage
cheese. the vagina will appear red, swollen, and painful during sexual contact. Oral Candidiasis will
cause white patches on the tongue, inside the cheeks, and on the palette of the mouth. Some effects
include immunesupression, mood swings, depression, poor sleep do to discomfort. It also affects the
organs like the liver and kidneys. You can develop chronic constipation, canker sores, and gal
bladder problems. Vaginal infections can be treated with most over the counter antifungul creams.
Including Monistat, Gyne–Lotrimim, and Mycelex. If the case is small then a single dose of oral
fluconazole is shown to be effective. When its an oral condition it is usually treated with
prescription lozenges or mouthwashes. Other treatments include amphotericin B oral suspension or
treatment with systemic azole medications such as Diflucan. Home remedies for vaginal candidiasis
include vinegar douches or insertion of a paste made from Lactobacillus acidophilus powder into the
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76.
77. Summary: Gastrointestinal Tract Candidiasis
Gastrointestinal Tract Candidiasis There are three major types of GIT candidiasis which include
esophageal, nonesophageal and oropharyngeal candidiasis. Oropharyngeal is also referred as the
oral thrush which is the Candida infection in the mouth, and it is manifested by burning tongue or
mouth, painful mouth, sore, dysphagia and thick whitish patches around the oral mucosa (Contreras
& Fuentes, 2013). Moreover, the diffuse white patches and erythema appear on the surface of the
throat, tongue, buccal mucosa, and gums. There are five types of oral thrush which include
erythematous candidiasis, chronic atrophic candidiasis membranous candidiasis, angular cheilitis
and the mixed of the four types (Contreras & Fuentes, 2013). The erythematous candidiasis is
manifested by erythematous covering on the soft and hard palates while membranous infection is the
most famous differentiated by creamy–white coverings on the mucosal surfaces. Furthermore, the
chronic atrophic candidiasis is also known as the denture stomatitis presented by symptoms and
signs such as chronic edema and erythema of the mouth lining part that touches the dentures.
Additionally, the angular cheilitis is the swelling response characterized by erythema, tenderness,
and cracking at the edge of the lips (Hospenthal & Rinaldi, 2015). ... Show more content on
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Nonesophageal GIT candidiasis is common to patients with the history of the neoplastic ailment of
the GIT (Contreras & Fuentes, 2013). However, the esophagus is the most infected part followed by
the stomach. Patients who have GIT candidiasis have malignant gastric ulcers, gastric perforations,
and chronic gastric ulcerations. Likewise, the nonesophageal GIT candidiasis is represented by
symptoms such as abdominal pain, abdominal mass, vomiting, nausea, epigastric pain, chills, and
fever (Lebwohl et al.,
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