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Torulopsis glabrata vaginitis

A Spinillo1, E Capuzzo, T O Egbe

  • 1Clinica Ostetrico-Ginecologica, IRCCS Policlinico San Matteo, Università di Pavia, Italy.

Obstetrics and Gynecology
|June 1, 1995
PubMed
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Torulopsis glabrata vaginal infections are linked to lower socioeconomic status and recurrent vaginitis. This yeast is more common in older women and shows resistance to some antifungals.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Women's Health

Background:

  • Vulvovaginal candidiasis (VVC) is a common gynecological issue.
  • Torulopsis glabrata (now often referred to as Candida glabrata) is an opportunistic fungal pathogen.
  • Understanding risk factors and clinical presentations of non-albicans Candida species is crucial for effective treatment.

Purpose of the Study:

  • To investigate the sociodemographic risk factors associated with Torulopsis glabrata vaginal infections.
  • To identify the clinical features and prevalence of T. glabrata vaginitis.
  • To compare T. glabrata infections with Candida albicans and non-infected controls.

Main Methods:

  • A case-control study involving 86 symptomatic women with T. glabrata vaginal isolates.

Related Experiment Videos

  • Comparison with 174 asymptomatic controls and 625 women with C. albicans infections.
  • Antimycotic sensitivity testing of T. glabrata isolates using the modified Kirby-Bauer method.

    • Main Results:

    • T. glabrata infections were associated with lower socioeconomic status, less education, and higher rates of tampon use and HIV seropositivity.
    • Compared to C. albicans, T. glabrata was more prevalent in women over 38 years old, with lower education and social class.
    • T. glabrata infection showed a significant association with recurrent vaginitis (OR 2.46) and 7% of isolates were resistant to imidazole antifungals.

    Conclusions:

    • Torulopsis glabrata accounts for 10% of VVC cases presenting at a vaginitis clinic.
    • The study highlights T. glabrata as a significant cause of recurrent vaginitis.
    • Findings suggest distinct risk factors and potential antifungal resistance patterns for T. glabrata compared to C. albicans.