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Volume 6, Spring 2008 - Saddleback College

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Fall 2007 Biology 3A Abstracts<br />

onto Agar plates, prepared with bromcresol green (pH<br />

6.1 ± 0.1; at 25 °C) according to a Bacto Candida BCG<br />

agar formula (Difco, NJ). Urine not plated within 1<br />

hour was refrigerated at 10°C until plating.<br />

Inoculated plates were incubated at 37 °C.<br />

Examination for Candida albicans growth on the<br />

plates, was performed after 24 hours and after 72 hours<br />

of incubation. Difco Manual was used as a reference<br />

for morphology and pH indications to identify various<br />

Candida species.<br />

The morphology of the fungal colonies present was<br />

interpreted as Candida albicans, Candida stellatoidea<br />

and/or Candida guilliermondii (Difco reference<br />

manual). An unpaired, t-test and A-Nova test was<br />

performed in MS Excel (Microsoft Corporation,<br />

Sylmar, Ca) to assess the statistical differences<br />

between the quantity of specimens positive for<br />

Candida fungus in children diagnosed with Autism<br />

compared to children not diagnosed with Autism.<br />

Results<br />

After three days of incubation, inoculated agar plates<br />

were observed for growth and morphological<br />

identification. Twelve of the twenty-one plates had<br />

positive Candida growth (table 1). Fifty percent of the<br />

plates with specimen from children diagnosed with<br />

autism and sixty seven percent of the plates with<br />

specimen from non-autistic children were positive for<br />

Candida growth.<br />

Table 1. Results of urine samples plated on pH<br />

indicated agar, to indicate intestinal Candida growth in<br />

children with and without autism and food allergies.<br />

+Growth<br />

+ Food<br />

allergies<br />

-Growth<br />

+ Food<br />

allergies<br />

+ Growth<br />

-Food<br />

allergies<br />

-Growth<br />

-Food<br />

allergies<br />

Autistic<br />

children 4 2 2 4<br />

Non-autistic<br />

children 2 0 4 3<br />

Plates that were positive for Candida growth varied in<br />

morphology most commonly found configuration was<br />

round with raised margin, smooth margins, and<br />

convexed elevation. Few of the colonies showed<br />

variations in morphology including one concentric<br />

configuration, undulate or irregular margins, and<br />

elevations ranging from raised to drop-like. All<br />

growths were characteristically deep green to blue with<br />

margins fading to a pale yellow (figure 1). A decrease<br />

in pH was also observed as the blue in the agar change<br />

d to green or yellow around colonial growths.<br />

Figure 1. Candida growth showing characteristic<br />

morphology round configuration with smooth (some<br />

undulated in this figure), raised margin, and convexed<br />

elevation. Deep green to blue coloring, with<br />

diminishing color to pale yellow toward margins.<br />

Interpretation of identification was ambiguous, due<br />

to less than 100% agreement between defined<br />

morphological characteristics and morphology<br />

characteristics observed on the plates. However, each<br />

colony was deduced to be one of two types of Candida.<br />

Eight of twelve growths were identified as either<br />

Candida albicans or Candida stelloidea. Three were<br />

identified as Candida albicans or Candida<br />

guilliermondi. One was deduced to be Candida<br />

albicans.<br />

There was not a significant difference in the number<br />

of positive plates of Candida growth between autistic<br />

and non-autistic children (p= 0.234, one-tailed t-test;<br />

n=21).<br />

Sixty-seven percent of the plates from children<br />

having food allergies were positive for Candida<br />

growth. There was not a significant difference in the<br />

number of plates positive for Candida growth between<br />

children with and without food allergies (p= 0.267,<br />

one-tailed t-test; n=6).<br />

Discussion<br />

This study did not support a significant difference in<br />

Candida growth between autistic children and any<br />

other group including autistic children without food<br />

allergies, non-autistic children with and without food<br />

allergies.<br />

The small number of participants yielded a limited<br />

result with narrow statistics in this study.<br />

False positives may be a variable, as independent<br />

collection of specimens may have been exposed to<br />

non-aseptic environments. Additionally, females are<br />

25<br />

<strong>Saddleback</strong> Journal of Biology<br />

<strong>Spring</strong> <strong>2008</strong>

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