Candida vulvovaginitis
Revision as of 23:57, 7 March 2014 by Rossdonaldson1 (talk | contribs) (Created page with "==Background== *Not considered an STI although it can be transmitted by sexual intercourse *May occur in premarnarcheal girls (rare) *Types **Uncomplicated ***Sporadic infxn, ...")
Background
- Not considered an STI although it can be transmitted by sexual intercourse
- May occur in premarnarcheal girls (rare)
- Types
- Uncomplicated
- Sporadic infxn, mild-moderate sx, due to Candida albicans, immunocompetent
- Complicated
- Recurrent infxn, severe sx, uncontrolled DM, immunosuppression, pregnant
- Uncomplicated
Differential Diagnosis
Diagnosis
- Vaginal pruritus is the most common and specific symptom
- Dischrage varies from little to copious and from watery to cottage-cheese like
- Odor is unusual (if present favors dx of BV)
- Wet mount shows hyphae and yeast buds
- Candida does not cause WBCs on wet mount, think about co-infection with other vaginitides or STI
Treatment
- Do not treat if asymptomatic
- Sexual partners should not be treated unless the pt has frequent recurrences
- Single-dose tx w/ oral flucon is as effective as topical tx but can't use in pregnancy
- Uncomplicated
- Clotrimazole 100mg vaginal tablet; 2 tablets/d x3d OR
- Fluconazole 150mg PO x1dose
- Complicated
- Fluconazole 150mg PO on days 1 and 3 (not recommended for pregnant pts)
- Topical azole therapy x7d (for pregnant pts)
See Also
Source
Tintinalli