Candidiasis albicans(白色念珠菌)

拉丁文
Candidiasis albicans
中文
白色念珠菌
Gram(+)/(-)
-
人體內型態/生活
Yeast form為主[人體]
Chlamydospore
厚壁孢子
細胞壁膜(特殊)/功能
 
感染源
院內感染
毒素/功能
 
流行病學
1. T-cell顯著低下的AIDS病人,有高機會感染到。
2. DM、惡性腫瘤、細菌性敗血症、corticosteroids使用者。

3. 局部食道疾病者,如:achalasia(賁門失弛緩症)、scleroderma(硬皮病)
疾病
最常見的伺機性黴菌症
Candidiasis(
念珠菌症):在皮膚、消化道及女性生殖道的黏膜層
念珠菌症是院內血液感染最常見的黴菌疾病
Endocarditis(
心內膜炎)

50%的念珠菌食道感染者有thrush(鵝口瘡)
特殊檢驗
SDA培養基白色
chlamydospores(
厚壁孢子)cornmeal tween 80 ager
治療
抗黴菌藥物
Immune reconstitution(
免疫系統的重建)

一、口腔、陰道黏膜的念珠菌感染
1. 以fluconazol 100mg qd口服治療7~14天。
2. 替代療法治療:
A. Itraconazol 200mg qd。
B. Clotrimazol口內劑(oral troches)10mg,一日五次。

3. Nystatin 500k units(4~6 ml)漱口,一日五次,治療7~14天。
二、抗藥性念珠菌治療
IV注射amphotericin B 0.3~0.7mg/kg/day;或IV注射liposomal amphotericin B 3~5mg/kg/day,治療10~14天
備註
人體常在菌
Morphology:

資料來源:vetnext

▼黴菌(mold) 顯示/隱藏(show/hide)

2 意見:

  1. Candida albicans,不是 Candidiasis albicans

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