Candida infections

Question 1

1st line treatment for vaginal candidiasis?

Answer 1

Clotrimazole pessarie (500mg PV)
or 

Oral Itracnazole 200mg bd for 1 day
or
Oral fluconazole 150mg stat

Question 2

features of balanitis associated with candida infection ?

Answer 2

acute onset
can occur in both children and adults
itching and white non-urethral discharge
usually occurs after intercourse

Question 3

treatment for balanitis caused by candida ?

Answer 3

general treatment;

• clear saline washes
• ensure to wash properly under the foreskin
• 1% hyrocortisone if severe

topical clotrimazole for 2 weeks

Question 4

candida infections associated with HIV ?

Answer 4

oral thrush

oesophageal candidiasis

Question 5

1st line treatment for oesophageal candidiasis ?

Answer 5

itraconazole and fluconazole

Question 6

treatment for fungal nail infection caused by candida albicans ?

Answer 6

no treatment if patient is not bothered by it

mild;
topical antifungal e.g. amorolfine for 6 months if fingernails and 9-12 months if toenails

severe;
oral itraconazole for 12 weeks

Question 7

treatment for fungal nail infection caused by a dermatophyte ?

Answer 7

oral itraconazole or terbinafine

• 6 weeks to 3 months if fingernails
• 3-6 months if toenails