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Candida albicans--saprophyte or pathogen?

R Jaafar1, J H Pettit

  • 1Department of Medicine, Faculty of Medicine, National University of Malaysia, Kuala Lumpur.

International Journal of Dermatology
|November 1, 1992
PubMed
Summary
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Candida albicans is commonly found on healthy skin, particularly in toe spaces and groins. Its presence does not always indicate infection, as it can exist as a harmless saprophyte.

Area of Science:

  • Mycology
  • Dermatology
  • Clinical Microbiology

Background:

  • Candida albicans is a common yeast that can colonize human skin.
  • The role of Candida albicans in skin conditions like athlete's foot and groin infections is not fully understood.

Purpose of the Study:

  • To investigate the prevalence of Candida albicans in healthy individuals' toe spaces and groins.
  • To determine if Candida albicans is a causative agent or a commensal organism in skin conditions.

Main Methods:

  • Skin scrapings were collected from the toe spaces of 200 healthy volunteers.
  • Skin scrapings were collected from the toe webs and groins of 150 pediatric patients.
  • Cultures were performed using the serum germ-tube test to identify Candida albicans.

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Main Results:

  • Candida albicans was isolated from approximately 15% of normal toe spaces.
  • Candida albicans was isolated from approximately 14% of children with normal groins.
  • The yeast was also found in various grades of athlete's foot and some abnormal groins.

Conclusions:

  • Candida albicans is frequently found as a saprophyte in normal skin, including toe spaces and groins.
  • The presence of Candida albicans does not necessarily imply it is the cause of dermatological conditions.
  • Further research is needed to differentiate between colonization and pathogenic roles of Candida albicans in skin infections.