Vagina candidiasis Flashcards
What is the more common terms for vagina candidiasis?
Thrush
What type of organism is vagina candidiasis caused by?
Yeast- Fungus
What is the main fungal cause of vagina candidiasis?
Candida albicans
What increases the likelihood of vaginal candidiasis?
- Diabetes
- Immunosuppression
- Pregnancy
- Drugs: Antibiotics, steroids
What are the main features of vaginal candidiasis?
- ‘cottage cheese’, non-offensive discharge
- Vulvitis: superficial dyspareunia, dysuria
- Itch
- Vulval erythema, fissuring, satellite lesions
How is the discharge associated with vaginal candidiasis described?
‘cottage cheese’, non-offensive discharge
What are the signs of vulvitis?
Superficial dyspareunia
Dysuria
What clinical presentation might you see in someone with vaginal candidiasis?
Vulval erythema
Fissuring
Satellite lesions
How are the lesions described in someone with vaginal candidiasis?
Satellite lesions
How is vaginal candidiasis diagnosed?
- Characteristic history
- Examination
What is a characteristic history for someone presenting with vaginal candidiasis?
Itching
Discharge
What might you see on examination of someone with vaginal candidiasis?
Fissuring
Erythema with satellite lesions
Characteristic discharge
What is the management of mild vaginal candidiasis?
May self-correct
What is the local treatment for vaginal candidiasis?
Clotrimazole pessary (500mg PV stat)
What is the oral treatment for vaginal candidiasis?
Single dose of oral fluconazole