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candidal vaginitis
Candidal vaginitis is caused by an overgrowth of Candida yeast in the vagina. It is more common in women who are pregnant, taking oral contraceptives or corticosteroids, have diabetes or HIV/AIDS, or have poor personal hygiene. Diagnosis involves examining vaginal discharge for characteristics like being white, flaky, or curd-like, as well as testing the discharge using potassium hydroxide or culturing it to identify Candida. Treatment focuses on improving hygiene, discontinuing medications that could cause infection, controlling diabetes, and using antifungal creams, pessaries, or oral medications like fluconazole for 7-14 days.
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candidal vaginitis
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- 2. Epidemiology Risk factors alteringimmune response Pregnancy Oral contraceptives,antibiotics,corticosteriods ,cancer chemotherapy. HIV and STDs Diabetes mellitus. Poor personal hygiene
- 3. Diagnosis Clinical data C/O pruritis,burning,dysuria Evidenceof vulvar erythema,oedema Discharge – whitish, flaky, or curd like Vaginal Ph 4.5
- 4. Investigations A KOHtreated wet mount of dischargehelps to dissolve all cellular debris Culture of discharge on- sabouraud’s agar showing discreate creamy colonies appear in 48 to 72 hours giving a typical yeast odour. nickerson’s medium ,where colonies appear in 48 to 78 hours as black brown discrete round colonies.
- 5. Management Preventive measures Improve personalhygiene, Discontinue offending medications. Control diabetes. Antifungal creams or pessaries for 7-14 days like clotrimazole, miconazole, butoconazole. Oral antifungal agents includes flucanazole single dose of 150mg.
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