Resistant Fungal Vaginitis.!

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    dvjorge
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    Fungal vaginitis is a nightmare for many women. The reason for antifungal resistance can be biofilm formations.

    I suggest vaginal douches with distilled water and an diluted Aspirin. Also local antifungal treatment.

    Candida albicans forms biofilms on the vaginal mucosa
    M. M. Harriott1, E. A. Lilly2, T. E. Rodriguez2, P. L. Fidel Jr2,3 and M. C. Noverr2,3
    + Author Affiliations

    1Department of Immunology and Microbiology, Wayne State University School of Medicine, Detroit, MI, USA
    2Department of Oral and Craniofacial Biology, Louisiana State University Health Sciences Center, New Orleans, LA, USA
    3Department of Microbiology, Immunology, and Parasitology, Louisiana State University Health Sciences Center, New Orleans, LA, USA
    Correspondence
    M. C. Noverr
    [email protected]
    Received 1 March 2010.
    Revised 25 July 2010.
    Accepted 6 August 2010.

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    Abstract

    Current understanding of resistance and susceptibility to vulvovaginal candidiasis challenges existing paradigms of host defence against fungal infection. While abiotic biofilm formation has a clearly established role during systemic Candida infections, it is not known whether C. albicans forms biofilms on the vaginal mucosa and the possible role of biofilms in disease. In vivo and ex vivo murine vaginitis models were employed to examine biofilm formation by scanning electron and confocal microscopy. C. albicans strains included 3153A (lab strain), DAY185 (parental control strain), and mutants defective in morphogenesis and/or biofilm formation in vitro (efg1/efg1 and bcr1/bcr1). Both 3153A and DAY815 formed biofilms on the vaginal mucosa in vivo and ex vivo as indicated by high fungal burden and microscopic analysis demonstrating typical biofilm architecture and presence of extracellular matrix (ECM) co-localized with the presence of fungi. In contrast, efg1/efg1 and bcr1/bcr1 mutant strains exhibited weak or no biofilm formation/ECM production in both models compared to wild-type strains and complemented mutants despite comparable colonization levels. These data show for the first time that C. albicans forms biofilms in vivo on vaginal epithelium, and that in vivo biotic biofilm formation requires regulators of biofilm formation (BCR1) and morphogenesis (EFG1).

    Jorge.

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