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Updated: Aug 19, 2026

Examination of Oral Candida Infection in Primary Sjögren's Syndrome Patients
Published on: March 1, 2024
Occurrence of Candida strains in cases of paronychia
E Dorko1, J Jautová, E Pilipcinec
1Department of Epidemiology, Faculty of Medicine, Safárik University, 041 80 Kosice, Slovakia. erikdorco@pobox.sk
Abstract:
A total of 43 patients, 11 males and 32 females, with paronychia of the fingernails were examined for the presence of Candida spp. The yeast species isolated were identified using standard laboratory methods, including germ-tube production, morphology on rice agar with Tween 80, and mainly fermentation and assimilation of saccharides. In the male group, two Candida species were detected: C. albicans as the dominant species in 9 patients and C. parapsilosis in 2 cases. Similarly, C. albicans was the prevalent species also in females (n = 17); other Candida species detected were C. parapsilosis (n = 7), C. tropicalis (5) and C. krusei (3). In addition to the genus Candida, the following anaerobic and aerobic microorganisms were isolated from patients of both groups: Fusobacterium spp., Bacteroides spp., Staphylococcus aureus, alpha-hemolytic streptococci, group A beta-hemolytic streptococci, Klebsiella pneumoniae, Neisseria spp. and Pseudomonas aeruginosa.
Insights
Candida albicans is the most common yeast causing fingernail paronychia in both males and females. Other Candida species and various bacteria were also identified in infected patients.
Area of Science:
- Medical Mycology
- Dermatology
- Infectious Diseases
Background:
- Paronychia, an infection of the nail fold, can be caused by various microorganisms.
- The role of Candida species, particularly in fingernail paronychia, requires detailed investigation.
- Understanding the microbial spectrum is crucial for effective treatment strategies.
Purpose of the Study:
- To identify the spectrum of Candida species and other microorganisms associated with fingernail paronychia.
- To determine the prevalence of different Candida species in male and female patients with paronychia.
Main Methods:
- Yeast identification using standard microbiological techniques: germ-tube production, rice agar Tween 80 morphology, and saccharide fermentation/assimilation.
- Isolation and identification of accompanying aerobic and anaerobic bacteria.
- Analysis of microbial findings based on patient gender.
Main Results:
- Candida albicans was the predominant yeast species isolated from both male (9/11) and female (17/32) patients.
- Other Candida species identified included C. parapsilosis, C. tropicalis, and C. krusei.
- A variety of bacteria, including Fusobacterium spp., Bacteroides spp., Staphylococcus aureus, and Klebsiella pneumoniae, were also isolated.
Conclusions:
- Candida albicans is a significant causative agent of fingernail paronychia.
- The polymicrobial nature of paronychia, involving both yeasts and bacteria, highlights the need for comprehensive diagnostic approaches.
- Findings provide insights into the etiological agents of paronychia, aiding in clinical management.
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