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Article
December 12, 1986

Is There an Epidemic of Chronic Candidiasis in Our Midst?

Author Affiliations

From the Department of Food Science and Nutrition, University of Minnesota, St Paul.

JAMA. 1986;256(22):3138-3139. doi:10.1001/jama.1986.03380220104032
Abstract

THERE IS a growing underground of public controversy surrounding the reputed presence of a "new epidemic." This epidemic involves chronic candidiasis, a condition in which there is an overgrowth of and systemic invasion by the yeast organism Candida albicans.

The Candida organism is ubiquitous in our environment, is a normal inhabitant of the large intestine, and is typically the identifiable organism in vaginal yeast infections (vulvovaginal candidiasis). Of late, a growing popular connotation of "candidiasis" is no longer limited to the female malady. It has come to signify a chronic condition with a new panoply of symptoms.

Perhaps the original proponent of this popular Candida theory is C. O. Truss, MD, of Birmingham, Ala.1 His hypothesis states that a number of conditions, such as an overuse of antibiotics, will decrease Candida's naturally occurring competitors in the large intestine. This creates an imbalance and facilitates an overgrowth of the Candida

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