Candidomyceta vulvovaginitis

Vulvovaginitis candidomyceta or yeast vulvovaginitis, commonly occurs in up to 75% of women at least once in their lifetime.

Clinical picture

There is a whitish discharge associated with itching, burning and erythema of the vulva and vagina or burning during urination. The cause is Candida albicans, and the predisposing factors include diabetes mellitus, pregnancy, and the use of immunosuppressants, corticoids, and antibiotics.

Diagnosis

Microscopically, we demonstrate yeast, together with the symptomatology, where in up to 20% of women, the mucous membrane is inhabited by Candida albicans normally. We also demonstrate culturally.

Therapy

Local azole antifungal (Clotrimazole) for 7 days, or one time Fluconazole 150 mg po In case of relapses, we will also think about treating the sexual partner.

Course and prognosis

Chronic relapses occur in 5% of cases.

Použitá literatura

  • ŠTORK, Jiří. Dermatovenerologie. 1. edition. Praha : Galén, Karolinum, 2008. 502 pp. ISBN 978-80-7262-371-6.