Follow
International Journal of Current Microbiology and Applied Sciences (IJCMAS)
IJCMAS is now DOI (CrossRef) registered Research Journal. The DOIs are assigned to all published IJCMAS Articles.
Index Copernicus ICI Journals Master List 2023 - IJCMAS--ICV 2023: 95.56 For more details click here
National Academy of Agricultural Sciences (NAAS) : NAAS Score: *5.38 (2020) [Effective from January 1, 2020] For more details click here

Login as a Reviewer


See Guidelines to Authors
Current Issues
Download Publication Certificate

Original Research Articles Volume : 15, Issue : 6, June, 2026

PRINT ISSN : 2319-7692
Online ISSN : 2319-7706
Issues : 12 per year
Publisher : Excellent Publishers
Email : editorijcmas@gmail.com
submit@ijcmas.com
Editor-in-chief: Dr.M.Prakash
Index Copernicus ICV 2018: 95.39
NAAS RATING 2020: 5.38

Int.J.Curr.Microbiol.App.Sci.2026.15(6) : 188-194
DOI : https://doi.org/10.20546/ijcmas.2026.1506.019


Prevalence and Identification of Candida Species in Oral Candidiasis among Immunocompromised Patients at a Tertiary Hospital in South Asia

Samiya Nishath*, M. L. Kavitha Latha, D. Savitha and Ajaz Ahmed
Osmania Medical College, Hyderabad, Telangana, India
*Corresponding author
Abstract:

When host defense fails, opportunistic fungal pathogens can take foundation in the oral cavity, an ecologically dynamic niche. Oral candidiasis is still one of the most common opportunistic fungal infections in individuals with compromised immune systems. Objective of the current hospital cross sectional study was to find out the prevalence and species distribution of Candida in 103 immunologically susceptible patients who were identified at Osmania General Hospital in Hyderabad. Oral swabs and mucosal scrapings were taken under direct microscopy, and then cultured on Sabouraud Dextrose Agar and CHROMagar Candida, and morphologically speciation was performed on corn meal agar. There was a pronounced male predominance. A majority of the isolates were non-albicans species, namely Candida tropicalis, occasionally Candida krusei and Candida glabrata was isolated. These results suggest an epidemiological movement of oral candidiasis towards non-albicans Candida species with a direct correlation to species-level identification for proper direct prudent antifungal drug and improvement in clinical responses in immunocompromised individuals.


Keywords: Oral candidiasis, Candida speciation, Immunocompromised host, non-albicans Candida, opportunistic fungal infection.


References:
  1. Clinical and Laboratory Standards Institute (CLSI). Method for antifungal disk diffusion susceptibility testing of yeasts; approved guideline. 2nd ed. CLSI document M44-A2. Wayne (PA): CLSI; 2009.
  2. Golia S, Reddy KM, Karjigi KS, Hittinahalli V. Speciation of Candida using chromogenic agar and cornmeal agar with determination of fluconazole sensitivity. Al Ameen J Med Sci. 2013; 6(2): 163-166.
  3. Sugizaki MF, Rhoden CR, Bombonatti DM. Prevalence and in vitro antifungal susceptibility of Candida spp. isolated from clinical specimens in São Paulo, Brazil. Rev Iberoam Micol. 1998; 15: 16-18.
  4. Mohandas V, Ballal M. Distribution of Candida species in different clinical samples and their virulence: biofilm formation, proteinase and phospholipase production among hospitalized patients in Southern India. J Glob Infect Dis. 2011; 3(1): 4-8. https://doi.org/4103/0974-777X.77288
  5. Odds FC, Bernaerts R. CHROMagar Candida, a new differential isolation medium for presumptive identification of clinically important Candida species. J Clin Microbiol. 1994; 32(8): 1923-1929. https://doi.org/1128/JCM.32.8.1923-1929.1994
  6. Kashid RA, Belawadi S, Gaytridevi I, Indumal. Characterization and antifungal susceptibility testing of Candida isolates in a tertiary care hospital. J Health Sci Res. 2011; 2(2): 1-11.
  7. Shivaprakash S, Radhakrishnan K, Karim PMS. Candida species other than Candida albicans: a major cause of fungaemia in a tertiary care centre. Indian J Med Microbiol. 2007; 25(4): 405-407. https://doi.org/4103/0255-0857.37341
  8. Tille PM. Bailey & Scott's Diagnostic Microbiology. 13th ed. St. Louis: Mosby Elsevier; 2013. Chapter 63, Mycology.
  9. Khadka S, Sherchand JB, Pokhrel BM, Parajuli K, Mishra SK, Sharma S, et al., Isolation, speciation and antifungal susceptibility testing of Candida isolates from various clinical specimens at a tertiary care hospital, Nepal. BMC Res Notes. 2017; 10(1): 218. https://doi.org/1186/s13104-017-2527-3
  10. Larone DH. Medically Important Fungi: A Guide to Identification. 4th ed. Washington (DC): ASM Press; 2002. p. 325-335.
  11. Deepthi T, Pradeep MSS, Setty CR. Speciation, detection of virulence factors and antifungal susceptibility testing of Candida isolates in a tertiary care hospital. IOSR J Dent Med Sci. 2016; 15(10): 20-23.
  12. Badiee P, Alborzi A. Susceptibility of clinical Candida species isolates to antifungal agents by E-test: a five-year study from Southern Iran. Iran J Microbiol. 2011; 3(4): 183-188.
  13. Nagarathnamma BC, Ambica R. Speciation of Candida and antifungal susceptibility testing from clinical specimens in a tertiary care hospital, Bangalore. Int J Curr Res. 2017; 9(1): 45832-45836.
  14. Rudrappa PT, Chandrashekar SC, Suman MN. Speciation of Candida isolates from clinical samples using conventional and CHROMagar methods. Int J Curr Microbiol Appl Sci. 2018; 7(3): 2663-2670.
  15. Jangla SM, Naidu R, Patel SC. Speciation and antifungal susceptibility testing of Candida isolates in various clinical samples in a tertiary care hospital in Mumbai. Int J Biomed Res. 2018; 9(3): 106-111. https://doi.org/7439/ijbr.v9i3.4636
  16. Nadeem SG, Hakim ST, Kazmi SU. Use of CHROMagar Candida for presumptive identification of Candida species directly from clinical specimens in resource-limited settings. Libyan J Med. 2010; 5(1): 2144. https://doi.org/3402/LJM.V5I0.2144
  17. Singh R, Verma RK, Kumari S, Singh A, Singh DP. Rapid identification and susceptibility pattern of various Candida isolates from different clinical specimens in a tertiary care hospital in Western Uttar Pradesh. Int J Res Med Sci. 2017; 5: 3466-3470.
  18. Devadas SM, Ballal M, Prakash PY, Hande MH, Bhat GV, Mohandas V. Auxanographic carbohydrate assimilation method for large-scale yeast identification. J Clin Diagn Res. 2017; 11(4): DC01-DC03. https://doi.org/7860/JCDR/2017/24576.9670
  19. Vignesh Kanna B, Amar Kumar G, Swapna M, Easow JM. Isolation and identification of Candida species from various clinical samples in a tertiary care hospital. Int J Res Med Sci. 2017; 5(8): 3520-3522.
  20. Anaissie EJ, McGinnis MR, Pfaller MA. Clinical Mycology. 1st ed. Philadelphia: Churchill Livingstone; 2003. p. 195-225.
  21. HiMedia Laboratories Pvt. Ltd. Mueller-Hinton Agar with 2% Glucose and Methylene Blue. Technical Data Sheet M1825. Mumbai: HiMedia; 2011.
  22. Clinical and Laboratory Standards Institute (CLSI). Performance Standards for Antifungal Susceptibility Testing of Yeasts. CLSI Supplement M60. Wayne (PA): CLSI; 2017.
  23. Badiee P, Choopanizadeh M, Moghadam AG, Nasab AH, Jafarian H, Shamsizadeh A, et al., Antifungal susceptibility patterns of colonized Candida species isolates from immunocompromised paediatric patients. Iran J Microbiol. 2017; 9(6): 363-369. https://doi.org/18502/ijm.v9i6.970
  24. Shaffi FT, Padmaraj SR, Mullessery NP. Species distribution and antifungal susceptibility pattern of Candida causing oral candidiasis among hospitalized patients. Arch Med Health Sci. 2015; 3(2): 247-252. https://doi.org/4103/2321-4848.171907
  25. Dharwad S, Saldanha DR. Species identification of Candida isolates in various clinical specimens with their antifungal susceptibility patterns. J Clin Diagn Res. 2012; 5(6): 1177-1181. https://doi.org/7860/JCDR/2012/4086.2375
  26. Krause R, Schwab E, Bachhiesl D, Daxböck F, Wenisch C, Krejs GJ, et al., Role of Candida in antibiotic-associated diarrhea. J Infect Dis. 2001; 184: 1065-1069. https://doi.org/1086/323280
  27. Kulshrestha S, Soni P, Parihra RS, Khatri PK, Soni LK. Abnormal vaginal discharge: comparison of clinical and microbiological criteria for diagnosis of bacterial vaginosis. Int J Biomed Med Res. 2015; 3: 5090-5094.
  28. Rana A, Sharma A, Pandey G. Diagnostic value of sputum Gram stain and sputum culture in lower respiratory tract infection. Int J Curr Microbiol Appl Sci. 2017; 6(7): 4310-4314.
  29. Chander J. Textbook of Medical Mycology. 4th ed. New Delhi: Jaypee Brothers Medical Publishers; 2018. Appendix D, Antifungal Susceptibility Testing. p. 874-875.

Download this article as Download

How to cite this article:

Samiya Nishath, Kavitha Latha M. L., Savitha D. and Ajaz Ahmed. 2026. Prevalence and Identification of Candida Species in Oral Candidiasis among Immunocompromised Patients at a Tertiary Hospital in South Asia. Int.J.Curr.Microbiol.App.Sci. 15(6): 188-194 doi: https://doi.org/10.20546/ijcmas.2026.1506.019
Copyright: This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike license

Citations

"; var printWin = window.open( '', '', 'scrollbars=yes,width=' + w + ',height=' + h + ',top=' + top + ',left=' + left ); printWin.document.write(html); printWin.document.close(); printWin.focus(); printWin.print(); printWin.close(); }