Candidal vaginitis is caused by an overgrowth of Candida yeast in the vagina. It is more common in women who are pregnant, taking oral contraceptives or corticosteroids, have diabetes or HIV/AIDS, or have poor personal hygiene. Diagnosis involves examining vaginal discharge for characteristics like being white, flaky, or curd-like, as well as testing the discharge using potassium hydroxide or culturing it to identify Candida. Treatment focuses on improving hygiene, discontinuing medications that could cause infection, controlling diabetes, and using antifungal creams, pessaries, or oral medications like fluconazole for 7-14 days.

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.

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