This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

A Diagnostic Guideline

Philip J. Kozinn, MD; Claire L. Taschdjian, MS

JAMA. 1966;198(2):170-172.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Isolation of Candida albicans from a patient's stools, sputum, or urine tends to obfuscate rather than clarify the diagnosis. The clinician's uncertainty as to the significance of Candida or ganisms cultured from skin lesions or from blood, cerebrospinal fluid, and other internal foci has all too often delayed or prevented administration of specific therapy.

Much of the confusion concerning the diagnostic interpretation of C albicans isolated from clinical specimens stems from faulty concepts as to the saprophytic occurrence of the organism. Despite ample evidence to the contrary,¹ many textbooks and articles still perpetuate the thoughtless statement that C albicans occurs saprophytically on normal skin. As a result, a Candida organism cultured from blood and other visceral specimens is often shrugged off as a "skin contaminant," with usually tragic consequences for the patient. Failure to recognize the role of C albicans in the etiology of skin lesions may lead to . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Pediatrics, University of the State of New York Downstate Medical Center, and Maimonides Hospital (Dr. Kozinn) and the Department of Biology, Saint Francis College (C. L. Taschdjian), Brooklyn, NY.

Footnotes
Reprint requests to 2220 Ocean Ave, Brooklyn, NY 11229 (Dr. Kozinn).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?