vaginal candidiasis


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Related to vaginal candidiasis: Yeast infection, trichomoniasis
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candidiasis

 [kan″dĭ-di´ah-sis]
infection by fungi of the genus Candida, generally C. albicans, most commonly involving the skin, oral mucosa (thrush), respiratory tract, or vagina; occasionally there is a systemic infection or endocarditis. It is most often associated with pregnancy, glycosuria, diabetes mellitus, or use of antibiotics. The Centers for Disease Control and Prevention has found that in the United States this condition is the fourth most common cause of nosocomial infections of the blood stream. Called also candidosis and moniliasis.

The most prominent symptom of vaginitis due to Candida infection is severe itching. Sexual transmission is unlikely. Intravaginal cream containing miconazole or clotrimazole, applied each night for one week, usually clears up the infection. Difficulty or pain with swallowing, or retrosternal pain, may indicate candidiasis of the esophagus. Systemic antifungal therapy is indicated for esophagitis and other more severe forms of the disease. Therapeutic options include ketoconazole, fluconazole, and amphotericin b. Chronic suppressive therapy is sometimes required for severely immunocompromised patients. The Infectious Disease Society of America has published “Practice Guidelines for the Treatment of Candidiasis” on their web site, http://www.idsociety.org.
atrophic candidiasis oral candidiasis marked by erythematous, pebbled patches on the hard or soft palate, buccal mucosa, and dorsal surface of the tongue, a complication of numerous different conditions such as vitamin deficiency, diabetes mellitus, or poorly fitting dentures. There are acute forms and a chronic form called denture stomatitis.
bronchopulmonary candidiasis candidiasis of the respiratory tree, occurring in a mild afebrile form manifested as chronic bronchitis, and in a usually fatal form resembling tuberculosis. Called also bronchocandidiasis.
chronic mucocutaneous candidiasis a group comprising a number of varying forms of Candida infection, marked by chronic candidiasis of the skin and nails and the mucous membranes of the mouth and vagina that is resistant to treatment; it may be localized or diffuse, is sometimes familial, and may be associated with disorders of the immune and endocrine systems.
endocardial candidiasis Candida endocarditis.
oral candidiasis thrush.
pulmonary candidiasis a type of fungal pneumonia caused by infection with Candida species, seen especially in immunocompromised patients or those with malignancies. Called also Candida pneumonia.
vaginal candidiasis (vulvovaginal candidiasis) candidal infection of the vagina, and usually also the vulva, commonly characterized by itching, creamy white discharge, vulvar redness and swelling, and dyspareunia. Called also Candida or candidal vaginitis and Candida or candidal vulvovaginitis.

vaginal candidiasis

Vaginal mycosis, vaginal thrush, vaginal yeast infection Gynecology Infection of the lower ♀ gentital tract with Candida spp, usually C albicans, a fungus normally found in the flora of the vagina, mouth, GI tract, skin–±25% of ♀ have Candida spp; Sx appear when the balance with other saprobes is changed, favoring candidal growth–eg, after antibiotics, especially tetracycline; related to estrogen-based OCs, DM, immunocompromise–eg, AIDS. See Candidiasis.
References in periodicals archive ?
They have been licensed for the short-term oral treatment of vaginal candidiasis and have proved to be safer than both amphotericin B and ketoconazole.5 Both of them have good safety and efficacy data.
Probiotics--commensal microorganisms given to antagonize the activity of pathogenic microorganisms--have been used to replace bacterial flora wiped out by antibiotics with the aim of preventing antibiotic-associated diarrhea or vaginal candidiasis. The investigators of this study evaluated the role of products containing Lactobacillus spp.
Itraconazole versus placebo in the management of vaginal candidiasis. Int J Gynaecol Obstet 1991; 36:229-232.
Vaginal candidiasis is common opportunistic mucosal infection caused predominantly by C.
We had given the clinical trial of single-day 200mg twice therapy of itraconazole, while an earlier study showed that the treatment with a daily 200mg oral dose of itraconazole for 3 days and a single 150mg oral dose of fluconazole proved to be equally effective in the treatment of vaginal candidiasis. (13) The Clinical cure rate was significantly high in the itraconazole group compared to the fluconazole group.
The symptoms of vaginal candidiasis vary from irritation and discharge in a mild infection to perineal discomfort and dyspareunia in a severe infection.
In January 1991, miconazole and clotrimazole were released as nonprescription therapy for vaginal candidiasis.[7] Considering the number of women who suffer from vaginal symptoms annually, these new over-the-counter (OTC) products may have a considerable positive or negative impact on health care.
Vaginal discharge and pruritus are frequent reasons for encounter in general practice, [1] and Candida vaginitis is the most frequent diagnosis made in these patients.[2] Numerous studies have evaluated different treatment regimens for vaginal candidiasis, and boric acid, nystatin, natamycin, and a range of different imidazole derivatives have all proved effective in the eradication of Candida.[3-6] Most clinical trials have compared different drugs or different dosages of the same drug.
In 52 clinical trials, only 1 patient had an itraconazole-related adverse event out of 189 patients with diabetes who received itraconazole for systemic infections, vaginal candidiasis, and other conditions (Dermatology 198[4]:382-84, 1999).
SAN FRANCISCO -- The key to managing patients with recurrent vaginal candidiasis is to culture, culture, culture, Dr.
Sixty-three percent had current or past evidence of HPV infection, and 45% had recurrent vaginal candidiasis.
Boric acid can be a useful treatment for vaginal candidiasis, but keep in mind its potential toxicity, Dr.