Variations in oral health outcomes and mycobiome composition among COVID-19 convalescents.

Publication date: Jul 01, 2025

The link between gut microbiota and COVID-19 has been previously established, but the role of the oral fungal microbiota in this context remains underexplored. This study aimed to characterize the oral mycobiome of COVID-19 convalescents. Saliva samples were collected from three groups: COVID-19 patients treated with antibiotics (group I), COVID-19 patients without antimicrobial treatment (group II), and healthy volunteers (group III) from the University Hospital and from the University Dental Clinic in KrakcF3w. The samples were analyzed using next-generation sequencing (NGS) targeting the ITS-1 region. Statistically significant differences in dental indices (Plaque Index-PI, Bleeding on Probing-BOP, Winkel Tongue Coating Index-WTCI) were observed between the convalescent groups (I and II) and the control group (III). At the phylum level, significant alpha diversity differences were noted across all groups. At the genus level, alpha diversity was significant for all tested indices. Beta diversity analysis revealed no significant differences between groups I and II at either the phylum or genus levels (p > 0. 05). The most abundant genera were Candida and Malassezia, with Candida being more prevalent in group I (88. 11%) compared to group II (78. 20%) and group III (45. 81%). Linear discriminant analysis (LDA) indicated Candida as overrepresented in group I, and Malassezia as a characteristic marker in group II. Additionally, we observed the higher evenness of mold species like Aspergillus and Penicillium in the control group compared to the COVID-19 convalescents. COVID-19 convalescents, particularly those treated with antibiotics, exhibited worse oral condition compared to healthy controls, with Candida overgrowth strongly associated with antibiotic use.

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Concepts Keywords
Antibiotics Adult
Covid Anti-Bacterial Agents
Dental Anti-Bacterial Agents
Underexplored COVID-19
Volunteers COVID-19
Female
Fungi
High-Throughput Nucleotide Sequencing
Humans
Male
Middle Aged
Mouth
Mycobiome
Mycobiome
Oral fungi
Oral Health
Oral mycobiota
Saliva
SARS-CoV-2
SARS-CoV-2 recovered patients

Semantics

Type Source Name
disease MESH oral health
disease MESH COVID-19
disease IDO role
disease MESH Bleeding
disease MESH Long Covid
disease MESH blood diseases
disease MESH leukemia
disease MESH atherosclerosis
disease MESH infections
disease MESH diabetes mellitus
disease MESH osteoporosis
disease MESH inflammation
disease MESH periodontal disease
disease IDO host
disease IDO bacteria
drug DRUGBANK Coenzyme M
drug DRUGBANK Isoxaflutole
disease MESH influenza
disease IDO immunodeficiency
disease MESH fungal infections
disease IDO infection
disease MESH viral infection
disease IDO susceptibility
disease MESH superinfections
disease MESH dysbiosis
disease MESH secondary infections
disease IDO commensal
disease MESH hypertension
disease MESH Emergency
drug DRUGBANK Ceftriaxone
drug DRUGBANK Levofloxacin
drug DRUGBANK Ciprofloxacin
disease IDO nucleic acid

Original Article

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