Abstract
Since 1958 pagano-Levin medium (PLM) has been used as an aid in the identification of Candida albicans. However, no statistical analysis of its effectiveness based on large number of random human specimens has been reported. The present study compared PLM (now called Candida test) with Sabouraud's plus antimicrobials and Littman's ox-gall agar without antimicrobials. Of 500 random vaginal samples 24.8 were true positives, 71.9% were true negatives, 2.2% were false positives, and 1.2% were false negatives on PLM. If only samples identified as C. albicans were considered, 95.4% were true positives and 4.6% were false negatives. PLM did not inhibit C. albicans from the vagina. No one medium was found superior to the others for the purpose of isolating and identifying C. albicans. Of the five strains of C. parapsilosis, the only other Candida species isolated, all the samples grew on PLM but most were inhibited on Sabouraud's medium plus antimicrobials.
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- Allison R. T. An evaluation of Pagano-Levin medium in a quantitative study of Candida albicans: preliminary communication. J Med Lab Technol. 1967 Jul;24(3):199–202. [PubMed] [Google Scholar]
- BAKER E. D., CADMAN L. P. Candidiasis in pigs in north-western Wisconsin. J Am Vet Med Assoc. 1963 Apr 1;142:763–767. [PubMed] [Google Scholar]
- BOBROW M. L., STEWART W. W. Candida albicans. Experience with Pagano-Levin culture medium for its identification in clinical material. A report of 294 cultures. Harlem Hosp Bull (N Y) 1960 Mar;1:88–92. [PubMed] [Google Scholar]
- CANIZARES O., SHATIN H. Studies of dermatophytes in culture media containing 2,3,5-triphenyltetrazolium chloride. J Invest Dermatol. 1951 Dec;17(6):323–336. doi: 10.1038/jid.1951.101. [DOI] [PubMed] [Google Scholar]
- Friedel H. J. Candicidin, a new vaginal monilicide. A test series. Md State Med J. 1966 Feb;15(2):36–37. [PubMed] [Google Scholar]
- GAETHE G. Griseofulvin-twentieth century wonder drug of dermatology. J La State Med Soc. 1959 Aug;111(8):302–305. [PubMed] [Google Scholar]
- GOLDMAN L., UNGER L. A comprehensive treatment for monilial infections of skin and nails. J Am Podiatry Assoc. 1959 Aug;49:371–373. [PubMed] [Google Scholar]
- KELLY J., KUTSCHER A. H., TUOTI F. Pagano-Levin medium: readings with Candida albicans organisms at incubator and room temperature. J Invest Dermatol. 1961 Jun;36:403–404. doi: 10.1038/jid.1961.62. [DOI] [PubMed] [Google Scholar]
- KOZINN P. J., TASCHDJIAN C. L. Oral thrush treated with lyophilized nystatin. Antibiot Annu. 1957;5:75–79. [PubMed] [Google Scholar]
- KRUPP P. J., ST ROMAIN M. J. Vaginal fungi during pregnancy. J La State Med Soc. 1960 May;112:176–177. [PubMed] [Google Scholar]
- KUTSCHER A. H., SEGUIN L., ZEGARELLI E. V., RANKOW R. M., CAMPBELL J. B., MERCADANTE J. Pagano-Levin culture medium for differentiation of Candida albicans. American type culture collection studies. I. Antibiot Chemother (Northfield) 1959 Nov;9:649–659. [PubMed] [Google Scholar]
- KUTSCHER A. H., SEGUIN L., ZEGARELLI E. V., RANKOW R. M., MERCADANTE J., PIRO J. D. Growth characteristics of Candida albicans on Pagano-Levin culture medium. J Invest Dermatol. 1959 Aug;33:41–47. [PubMed] [Google Scholar]
- LIND H. E. Incidence and control of moniliasis in the large bowel. Am J Proctol. 1962 Aug;13:236–242. [PubMed] [Google Scholar]
- MCHENRY A. G., Jr TREATMENT OF VAGINAL CANDIDIASIS. J La State Med Soc. 1964 Mar;116:93–98. [PubMed] [Google Scholar]
- MENDEL E. B., BONE F. W. The use of simple office procedures to study the incidence of Candida and Trichomonas in vulvovaginitis. South Med J. 1963 May;56:561–562. doi: 10.1097/00007611-196305000-00024. [DOI] [PubMed] [Google Scholar]
- Maestrone G., Semar R. Establishment and treatment of cutaneous Candida albicans infection in the rabbit. Naturwissenschaften. 1968 Feb;55(2):87–88. doi: 10.1007/BF00599501. [DOI] [PubMed] [Google Scholar]
- NICKERSON W. J. An enzymatic locus participating in cellular division of a yeast. J Gen Physiol. 1954 Mar;37(4):483–494. doi: 10.1085/jgp.37.4.483. [DOI] [PMC free article] [PubMed] [Google Scholar]
- OLANSKY S., OLANSKY M. Topical treatment of cutaneous moniliasis with an amphotericin B lotion. Antibiot Chemother (Northfield) 1962 Nov;12:650–653. [PubMed] [Google Scholar]
- ORENTREICH N. Amphotericin B, a new topical agent for cutaneous candidiasis. Curr Ther Res Clin Exp. 1962 Apr;4:182–185. [PubMed] [Google Scholar]
- Orbach E. J. Candida albicans, a contributing cause of torpid vascular ulcers of the lower extremities. Angiology. 1965 Nov;16(11):664–672. doi: 10.1177/000331976501601104. [DOI] [PubMed] [Google Scholar]
- PAGANO J., LEVIN J. D., TREJO W. Diagnostic medium for differentiation of species of Candida. Antibiot Annu. 1957;5:137–143. [PubMed] [Google Scholar]
- PERLMAN H. H. Common mistakes in the diagnosis of skin disorders most frequently seen in infants and children. South Med J. 1962 May;55:429–438. doi: 10.1097/00007611-196205000-00001. [DOI] [PubMed] [Google Scholar]
- RANQUE J., DEPIEDS R. Modifications des propriétés biochimiques des souches de Candida albicans au cours de leur vieillissement, leurs rapports avec les transformation en fromes rough. C R Seances Soc Biol Fil. 1952 Mar;146(5-6):479–481. [PubMed] [Google Scholar]
- RIDLEY M. F. A comparison of methods for identification of Candida albicans. Aust J Dermatol. 1960 Dec;5:209–213. [PubMed] [Google Scholar]
- ROSENTHAL S. A., FURNARI D. Pagano-Levin medium for the isolation and identification of Candida albicans. J Invest Dermatol. 1960 Mar;34:229–230. [PubMed] [Google Scholar]
- SHOOK D. M. A clinical study of a povidone-iodine regimen for resistant vaginitis. Curr Ther Res Clin Exp. 1963 May;5:256–263. [PubMed] [Google Scholar]
- SLAUGHTER B. C., DAVIDSON G. A., WOODS O. T. A CULTURE MEDIUM FOR THE DETECTION OF CANDIDA ALBICANS IN OFFICE PRACTICE. J La State Med Soc. 1963 Nov;115:387–389. [PubMed] [Google Scholar]
- SPENCER M. C. CLINICAL LIMITATIONS OF EXPERIMENTAL CUTANEOUS MONILIASIS (CANDIDA ALBICANS). Arch Dermatol. 1963 Dec;88:925–927. doi: 10.1001/archderm.1963.01590240249041. [DOI] [PubMed] [Google Scholar]
- STOUGH A. R., GROEL J. T., KROEGER W. H. Amphotericin B, a new antifungal agent for the prophylaxis of antibiotic-induced moniliasis. Antibiotic Med Clin Ther (New York) 1959 Nov;6:653–661. [PubMed] [Google Scholar]
- Schmitt J. A. Epidemiological investigations or oral Candida albicans. Mycopathol Mycol Appl. 1971 Jan 25;43(1):65–87. doi: 10.1007/BF02051504. [DOI] [PubMed] [Google Scholar]
- Stedham M. A., Kelley D. C., Coles E. H. Modified Pagano Levin medium to isolate Candida species. Appl Microbiol. 1966 Jul;14(4):525–528. doi: 10.1128/am.14.4.525-528.1966. [DOI] [PMC free article] [PubMed] [Google Scholar]
- TASCHDJIAN C. L., BURCHALL J. J., KOZINN P. J. Rapid identification of Candida albicans by filamentation on serum and serum substitutes. AMA J Dis Child. 1960 Feb;99:212–215. doi: 10.1001/archpedi.1960.02070030214011. [DOI] [PubMed] [Google Scholar]
- Tripathy S. B., Mathey W. J., Kenzy S. G. Study of aortic changes associated with candidiasis of turkeys. Avian Dis. 1965 Nov;9(4):520–530. [PubMed] [Google Scholar]
- VARGA A. Saline-glucose diagnostic medium. A culture medium for the diagnosis of Trichomonas and Monilia vaginitis. Obstet Gynecol. 1962 Jul;20:91–93. [PubMed] [Google Scholar]
- YACOWITZ H., WIND S., LEVIN J. D. The incidence of Candida albicans in poultry; evaluation of nystatin and chlorhydroxyquinoline in the prevention of experimental moniliasis. Antibiot Annu. 1958;6:994–997. [PubMed] [Google Scholar]