Clinical Characteristics Correlated with Different Fungi Causing Vulvovaginal Mycosis/Klinische Charakteristika der Vulvovaginalmykose in Abhängigkeit von der Erregerart

Higashide, K.; Aman, Reza; Yamamuro, O.

doi:10.1111/j.1439-0507.1988.tb03869.x

Cited by 5 publications

(1 citation statement)

References 3 publications

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“…Infections are more likely in the third trimester than other periods [85]. Although, in general, C. albicans is also the most common species among pregnant women, some studies have found NAC species, such as C. tropicalis , predominating [8,31,87,88]. Low socioeconomic background, poor education, non-white race, and underling medical conditions are commoner in NAC vaginitis [5,46].…”

Section: Risk Factorsmentioning

confidence: 99%

An Update on the Roles of Non-albicans Candida Species in Vulvovaginitis

Makanjuola

Bongomin

Fayemiwo

2018

JoF

116

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Candida species are one of the commonest causes of vaginitis in healthy women of reproductive age. Vulvovaginal candidiasis (VVC) is characterized by vulvovaginal itching, redness and discharge. Candida albicans, which is a common genito-urinary tract commensal, has been the prominent species and remains the most common fungal agent isolated from clinical samples of patients diagnosed with VVC. In recent times, however, there has been a notable shift in the etiology of candidiasis with non-albicans Candida (NAC) species gaining prominence. The NAC species now account for approximately 10% to as high as 45% of VVC cases in some studies. This is associated with treatment challenges and a slightly different clinical picture. NAC species vaginitis is milder in presentation, often occur in patients with underlying chronic medical conditions and symptoms tend to be more recurrent or chronic compared with C. albicans vaginitis. C. glabrata is the most common cause of NAC-VVC. C. tropicalis, C. krusei, C. parapsilosis, and C. guilliermondii are the other commonly implicated species. Treatment failure is common in NAC-VVC, since some of these species are intrinsically resistant or show low susceptibilities to commonly used antifungal agents. This article reviews the etiology, pathogenesis, clinical features, diagnosis, and management of NAC vulvovaginitis.

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Section: Risk Factorsmentioning

confidence: 99%

An Update on the Roles of Non-albicans Candida Species in Vulvovaginitis

Makanjuola

Bongomin

Fayemiwo

2018

JoF

116

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The Investigation of Pathogenity and Virulence of Candida

Dalkiliç

Aksebzeci

Kocatürk

et al. 1991

Candida and Candidamycosis

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Vaginal yeast flora of pregnant women in the Gusco region of Peru

Vidotto

Ochoa

Ponce

et al. 1992

Mycoses

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Summary. A study of the vaginal yeast flora in pregnant women living in Cusco and in its region (Peru), located approximately 3000 m above sea level, is reported. We observed 300 pregnant, healthy and non‐diabetic women who attended a gynaecological clinic in the Lorena, Regional or IPSS (Institute Peruano de Seguridad Social) hospitals in Cusco. A comprehensive clinical history was obtained from each patient. It included age, work, parity, time of pregnancy, use of contraceptives or antibiotics, type of vaginal symptoms, type and amount of vaginal secretion. The yeasts were isolated from 44.3% of the cases. The positive cases were more frequently found in the following categories: 20–30 year‐old patients (69.2%), ninth month of pregnancy (49.6%), first pregnancy (41.4%), no delivery (58.7%) and no abortion (66.9%). Most women complained of leukorrhea (75.9%) with mucus, scarce without odour (18.8%) or lumpy, regular, without odour (15.8%) secretion. The yeasts isolated were Candida albicans (66.2%), other Candida species (12.8%), Torulopsis glabrata (8.3%) or other Torulopsis species (2.2%), Saccharomyces cerevisiae (7.5%), Rhodotorula sp. (1.5%) and Tricho‐sporon cutaneum (1.5%). Zusammenfassung. Es wird über die vaginale Hefeflora bei Schwangeren in Cusco, Peru, und Umgebung berichtet, einer Region, die etwa 3000 m über dem Meeresspiegel liegt. In die Studie eingeschlossen wurden 300 schwangere, nicht‐diabetische, anderweitig gesunde Frauen, die die gynäkologische Kliniken in Cusco oder in der Lorena‐Region aufsuchten. Von jeder Patien‐tin wurde ein ausführlicher klinischer Bericht aufgenommen, der Alter, Beschäftigung, Zahl der Schwangerschaften, Schwangerschaftsstatus, frü‐here Anwendung von Kontrazeptiva und Anti‐biotika, Art der vaginalen Symptomatik sowie Typ und Ausmaß der Vaginalsekretion umfaßte. Von 44.3% der Patientinnen wurden Hefen iso‐liert. Hefepositivität wurde häufiger in folgenden Kategorien gefunden: 20‐30 Jahre alte Patientinnen (69.2%), neunter Schwangerschaftsmonat (49.6%), Erstschwangerschaft (41.4%), Frauen ohne bisherige Entbindung (58.7%), Frauen ohne bisherigen Abort (66.9%). Die meisten Frauen klagten über Leukorrhoe (75.9%) mit Schleimfluß, wenig Ausfluß jedoch mit Geruch (18.8%) oder klumpige regelmäßige Sekretion ohne Geruch (15.8%). Die isolierten Hefearten waren Candida albicans (66.2%), andere Candida‐Arten (12.8%), Torulopsis glabrata (8.3%), andere Torulopsis‐Arten (2.3%), Saccharomyces cerevisiae (7.5%), Rhodotorula‐Arten (1.5%) und Trichospo‐ron cutaneum (1.5%).

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Clinical Characteristics Correlated with Different Fungi Causing Vulvovaginal Mycosis/Klinische Charakteristika der Vulvovaginalmykose in Abhängigkeit von der Erregerart

Cited by 5 publications

References 3 publications

An Update on the Roles of Non-albicans Candida Species in Vulvovaginitis

An Update on the Roles of Non-albicans Candida Species in Vulvovaginitis

The Investigation of Pathogenity and Virulence of Candida

Vaginal yeast flora of pregnant women in the Gusco region of Peru

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