Candidosic Vaginite

The candidosic vaginite or candidose vaginal is generally a Vaginite by a Mycose Candida albicans .

It is very frequent and can be prone to several repetitions according to various factors.

Epidemiology

Seventy-five percent of all the women will know at least an episode of candidose in their life.
rates of the transitory and asymptomatic vaginal colonization are high.
There exists seldom a starting factor although a current or recent use of Antibiotique S, a Grossesse by increase in the rate of circulating estrogen, a catch of corticosteroids (immunosuppresion), a Diabète sweetened badly controlled and a immunizing Déficit can often cause an episode.

Clinical signs

The patient complains about Prurit, external Dysurie, of vaginal flow blanchâtre (milky with grumeaux), Dyspareunie on the level of the vaginal opening. There exists often an exacerbation or the appearance of the signs before the Menstruation. There is generally no disturbing odor. An important odor of amine (fish odor, salmon) with greenish losses suggests a bacterial vaginose.

With the Clinical examination, one finds losses vaginal white, friable and adherent and a erythema of the Vulve, vagina or vaginal opening.

Helps of the laboratory

The laboratory is not necessary in the event of typical clinical aspect. The laboratory will find in 90% of the cases a Candida albicans and in the other cases a Torulopsis glabrata , other species of Candida and others Levure S.

Recurring candidosic vulvo-vaginitis

the majority of the women suffering from a recurring candidosic vulvo-vaginitis do not present any apparent state predisposing.
the natural history and the pathogenesis of the infection are not well established.
a small proportion of women (lower than 5%) can have had a repeating candidose defined as three episodes or more symptomatic candidosic vulvo-vaginitis, of which at least an episode confirmed in laboratory in one year.
In certain patients, the infection reappears after repeated cures of antibactériens systemic.

Treatment

One does not treat an asymptomatic candidose of fortuitous discovery (for example during a Frottis of tracking.

intravaginal Treatment: The intravaginales preparations sold without ordinance are effective. The derived azoles (Miconazole, éconazole, etc) have a rate of effectiveness clinical and mycologic higher than the Polyène S. Certaines women can test certain side effects such as an irritation and a feeling of cooking on the level of the vulva.
oral Treatment: Fluconazole, 150 Mg per bone in single amount (contra-indicated during the pregnancy). It seems to have the same effectiveness as the intravaginaux products.
the male sexual partner should be only treated in the presence of a Balanite with Candida : application of a cream containing Miconazole or of Clotrimazole 2 times per day during 7 days.

See too

Vaginite

Sources

Canadian Guiding lines for the sexually transmitted diseases

Random links: