The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
Vaginitis due to Saccharomyces cerevisiae: epidemiology, clinical aspects and therapy
Abstract
Vaginitis due to Saccharomyces species is extremely rare. Nine patients with 20 vaginal isolates of Saccharomyces cerevisiae who presented with either asymptomatic vaginal colonization or symptomatic vaginitis indistinguishable from that caused by Candida albicans are described. All patients had a history of chronic or recurrent vaginitis, and all but two had systemic or local predisposing factors. In vitro tests of antimycotic sensitivity revealed reduced susceptibility of S. cerevisiae to the majority of available azole agents, with outright resistance to fluconazole. In accordance with these findings, the clinical response to conventional topical and oral antimycotic drugs was frequently suboptimal and incomplete. Electrophoretic karyotyping of strains revealed several distinct types of S. cerevisiae; this information permitted both longitudinal follow-up and differentiation of relapse from reinfection. In three patients with recurrent vaginitis, a unique epidemiological relationship was documented between S. cerevisiae and Torulopsis glabrata, another unusual and resistant vaginal pathogen. Isolation of S. cerevisiae from the vagina of symptomatic patients should not be ignored; treatment of vaginal infection with this yeast requires selected, often prolonged therapy.
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“the resistance of S. cerevisiae to certain antifungal agents has been also repeatedly observed.2,26,36,38”
Citations
Cites
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Self-citationTorulopsis glabrata vaginitis: Clinical aspects and susceptibility to antifungal agents
REDONDO-LOPEZ, V., Lynch, M., Schmitt, C., Cook, R. L., & Sobel, J. D. (1991) · International Journal of Gynecology & Obstetrics · doi:10.1016/0020-7292(91)90322-v · Cited by 83
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Short-sequence DNA repeats in prokaryotic genomes
van Belkum, A., Scherer, S., van Alphen, L., & Verbrugh, H. (1998) · Microbiology and Molecular Biology Reviews · doi:10.1128/mmbr.62.2.275-293.1998 · Cited by 737
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“From an epidemiologic standpoint, all of the new and emerging yeasts can be found in the environment (109, 153), and many of the Candida species and Saccharomyces cerevisiae can be isolated from human mucosal sites, especially the gastrointestinal tract and vagina (109, 138).”
BackgroundSaccharomyces cerevisiae Fungemia: An Emerging Infectious Disease
Munoz, P., Bouza, E., Cuenca-Estrella, M., Eiros, J. M., Perez, M. J., Sanchez-Somolinos, M., Rincon, C., Hortal, J., & Pelaez, T. (2005) · Clinical Infectious Diseases · doi:10.1086/429916 · Cited by 462
“conazole have been reported [41, 52, 79, 80].”
Richter, S. S., Galask, R. P., Messer, S. A., Hollis, R. J., Diekema, D. J., & Pfaller, M. A. (2005) · Journal of Clinical Microbiology · doi:10.1128/jcm.43.5.2155-2162.2005 · Cited by 435
“Most non-albicans Candida species have higher azole MICs, and infections they cause are often difficult to treat (10, 20, 21, 26).”
BackgroundInvasive Saccharomyces Infection: A Comprehensive Review
Enache-Angoulvant, A., & Hennequin, C. (2005) · Clinical Infectious Diseases · doi:10.1086/497832 · Cited by 369
“4% of cases [14, 15].”
Metadata
- Authors
- Sobel, J. D., Vazquez, J., Lynch, M., Meriwether, C., & Zervos, M. J.
- Affiliations
- Wayne State University (US)
- Corresponding author
- Sobel, J. D.
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 1993-01-01
- Volume
- 16
- Issue
- 1
- Pages
- 93-99
- ISSN
- 1058-4838 (ISSN-L)
- 1537-6591
- OpenAlex
- W2109797093
- Cited by
- 117
- References
- 19
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 5 · 2022: 1 · 2021: 5 · 2020: 3 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 6 · 2014: 3 · 2013: 1 · 2012: 4
- FWCI
- 4.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Infectious Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Life Sciences › Immunology and Microbiology › Microbiology › Yeasts and Rust Fungi Studies
- Health Sciences › Medicine › Infectious Diseases › Fungal Infections and Studies
- Keywords
- Saccharomyces cerevisiae, vaginal candidiasis, vaginal infection, recurrent vaginitis, Candida albicans, azole resistance, fluconazole resistance, Candida glabrata, relapse versus reinfection, vaginal colonization, antifungal therapy
- MeSH terms
- Adult, Antifungal Agents, Female, Humans, Microbial Sensitivity Tests, Middle Aged, Mycoses, Recurrence, Saccharomyces cerevisiae, Vagina, Vaginitis
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