Vulvovaginitis/balanitis

Question 1

What is the morphology of Candida albicans?

Answer 1

Hyphae, pseudohyphae, spores. Stains purple gram positive

Question 2

What is morphology of Candida glabrata?

Answer 2

No hyphae, spores only

Question 3

What is morphology of mobiluncus?

Answer 3

Sickle shaped rods, corkscrew motile
long gram negative
or short gram variable

Question 4

What is morphology of provotella?

Answer 4

Gram negative

Question 5

What is morphology of strep agalactiae (GBS)

Answer 5

Gram positive cocci in chains

It is a beta-hemolytic, catalase-negative, and facultative anaerobe

Question 6

Which culture should candida be plated on?

Answer 6

Sabaraud’s

Question 7

What is treatment of VVC?

Answer 7

Acute VVC
Recommended regimen:
• Fluconazole capsule 150mg as a single dose, orally

Recommended topical regimen (if oral therapy contraindicated):
• Clotrimazole pessary 500mg as a single dose, intravaginally

Question 8

Alternative VVC treatment

Answer 8

• Clotrimazole vaginal cream (10%) 5g as a single dose, intravaginally
• Clotrimazole pessary 200mg intravaginally at night for 3 consecutive nights
• Econazole pessary 150mg intravaginally as a single dose or 150mg intravaginally at night for 3 consecutive nights
• Fenticonazole capsule intravaginally as a single dose 600mg or 200mg intravaginally at night for 3 consecutive nights
• Itraconazole 200mg orally twice daily for 1 day PO
• Miconazole capsule 1200mg intravaginally as a single dose, or 400mg intravaginally at night for 3 consecutive nights
• Miconazole vaginal cream (2%) 5g intravaginally at night for 7 consecutive nights