candidiasis

Question 1

caused by

Answer 1

usually canida albicans, rarely other candida species

Question 2

penile symptoms

Answer 2

red rash on genitals, especially under foreskin, may or may not be itchy
swelling of foreskin if severe
fissures
superficial erosions

Question 3

vulvar/vaginal symptoms

Answer 3

thick white clumping vaginal discharge
itch, burning, soreness
superficial dyspareunia
external dysuria
excoriation, erythema, fissures, swelling

Question 4

diagnosis

Answer 4

usually clinical diagnosis
otherwise high vaginal swab or self collected vagnal swab or penile swab for microscopy and culture

Question 5

management in uncomplicated illness

Answer 5

vaginal azole creams eg. clotrimazole 10%
or 500mg clotrimazole vaginal pessary
or
fluconazole 150mg PO stat

Question 6

recurrent candida management

Answer 6

treat each episode with longer course of azole cream and/or fluconazole 150mg PO for 3 doses, 3 days apart, followed by maintenance with fluconazole 150mg PO weekly for 6 months

Question 7

treatment for candida glabrata

Answer 7

boric acid vaginal pessary
or nystatin

Question 8

can oral azoles be used in pregnancy

Answer 8

no

Question 9

can boric acid be used in pregnancy

Answer 9

no