pelvic inflammatory disease candidal vaginitis

1. CANDIDAL VAGINITIS
TEJAS D
ROLL NO 122

2. Epidemiology
Risk factors altering immune response
Pregnancy
Oral
contraceptives,antibiotics,corticosteriods
,cancer chemotherapy.
HIV and STDs
Diabetes mellitus.
Poor personal hygiene

3. Diagnosis
Clinical data
C/O pruritis,burning,dysuria
Evidence of vulvar erythema,oedema
Discharge – whitish, flaky, or curd like
Vaginal Ph 4.5

4. Investigations
 A KOH treated wet mount of dischargehelps
to dissolve all cellular debris
 Culture of discharge on- sabouraud’s agar
showing discreate creamy colonies appear in
48 to 72 hours giving a typical yeast odour.
 nickerson’s medium ,where colonies appear
in 48 to 78 hours as black brown discrete
round colonies.

5. Management
Preventive measures
Improve personal hygiene,
Discontinue offending medications.
Control diabetes.
Antifungal creams or pessaries for 7-14
days like clotrimazole, miconazole,
butoconazole.
Oral antifungal agents includes
flucanazole single dose of 150mg.

6. THANK YOU