Candida vulvovaginitis differential diagnosis: Difference between revisions

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__NOTOC__
__NOTOC__
{{Candidiasis}}
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Candida_vulvovaginitis]]
{{CMG}}; {{AE}}{{DN}}, {{AKI}}


Many women mistake the symptoms of the more common [[bacterial vaginosis]] for a yeast infection. In a 2002 study published in the ''Journal of Obstetrics and Gynecology'', only 33 percent of women who were self treating for a yeast infection actually had a yeast infection. Instead they had either bacterial vaginosis or a mixed-type infection.
==Overview==
Candida Vulvovaginitis must be differentiated from diseases with similar presentation such as bacterial vaginosis, trichomonas vaginitis and atrophic vaginitis.
==Differentiating Candida Vulvovaginitis from other Diseases==
Candida Vulvovaginitis must be differentiated from the following diseases which have a similar presentation:<ref name=CDC-BV> Centers for Disease Control and Prevention. 2015 Sexually Transmitted Diseases Treatment Guidelines. Bacterial Vaginosis. http://www.cdc.gov/std/tg2015/bv.htm Accessed on October 13, 2016 </ref><ref name="pmid10839558">{{cite journal| author=Bachmann GA, Nevadunsky NS| title=Diagnosis and treatment of atrophic vaginitis. | journal=Am Fam Physician | year= 2000 | volume= 61 | issue= 10 | pages= 3090-6 | pmid=10839558 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10839558  }} </ref><ref name="pmid2448502">{{cite journal| author=Krieger JN, Tam MR, Stevens CE, Nielsen IO, Hale J, Kiviat NB et al.| title=Diagnosis of trichomoniasis. Comparison of conventional wet-mount examination with cytologic studies, cultures, and monoclonal antibody staining of direct specimens. | journal=JAMA | year= 1988 | volume= 259 | issue= 8 | pages= 1223-7 | pmid=2448502 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2448502  }} </ref><ref name="pmid21422855">{{cite journal| author=Sobel JD, Reichman O, Misra D, Yoo W| title=Prognosis and treatment of desquamative inflammatory vaginitis. | journal=Obstet Gynecol | year= 2011 | volume= 117 | issue= 4 | pages= 850-5 | pmid=21422855 | doi=10.1097/AOG.0b013e3182117c9e | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21422855  }} </ref><ref name="pmid97946645">{{cite journal| author=Eckert LO, Hawes SE, Stevens CE, Koutsky LA, Eschenbach DA, Holmes KK| title=Vulvovaginal candidiasis: clinical manifestations, risk factors, management algorithm. | journal=Obstet Gynecol | year= 1998 | volume= 92 | issue= 5 | pages= 757-65 | pmid=9794664 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9794664  }}</ref>


{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
|+
! style="background: #4479BA; width: 120px;" | {{fontcolor|#FFF|Disease}}
! style="background: #4479BA; width: 550px;" | {{fontcolor|#FFF|Findings}}
|-
| style="padding: 5px 5px; background: #DCDCDC;" |'''[[Trichomoniasis]]'''
| style="padding: 5px 5px; background: #F5F5F5;" |
*Presents with purulent, malodorous, thin [[discharge]] associated with burning, [[pruritus]], and [[dysuria]], with the signs of vaginal [[inflammation]] and elevated vaginal [[pH]] (>4.5)
*Motile [[trichomonads]] on [[wet mount]] are demonstrated
*Positive [[culture]] (Gold standard)
*Positive [[nucleic acid amplification test]] ([[NAAT]])
|-
| style="padding: 5px 5px; background: #DCDCDC;" |'''[[Atrophic vaginitis]]'''
| style="padding: 5px 5px; background: #F5F5F5;" |
*Progressive symptoms 
*Presents with yellow and malodorous vaginal [[discharge]], [[vaginal dryness]], [[postcoital bleeding]], and [[dyspareunia]] with the signs of vaginal [[inflammation]] and elevated vaginal [[pH]] (>5)
*Diagnosis is critical and laboratory tests help to confirm hypoestrogenic state
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''Desquamative inflammatory vaginitis'''
| style="padding: 5px 5px; background: #F5F5F5;" |
*Chronic clinical syndrome with unknown etiology
*Presents with [[dyspareunia]], [[dyspareunia]], yellow, grey, or green profuse [[vaginal discharge]] with the signs of vaginal [[inflammation]] and elevated vaginal [[pH]] (>4.5)
*Microscopy shows large number of parabasal (immature squamous epithelial cells) and inflammatory cells
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Bacterial Vaginosis]]'''
| style="padding: 5px 5px; background: #F5F5F5;" |
*Presents with [[dysuria]], [[vaginal discharge]]
*Fishy odor (positive whiff test)
*Normal vaginal [[PH]] (<4.5)
*On [[speculum examination]] signs of vaginal inflammation are demonstrated.
|}
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


[[Category:Needs content]]
[[Category:Disease]]
[[Category:Infectious disease]]
[[Category:Up-To-Date]]
[[Category:Nephrology]]
[[Category:Dermatology]]
[[Category:Gynecology]]
[[Category:Gynecology]]
[[Category:Microbiology]]
[[Category:Obstetrics]]
[[Category:Disease]]
 
{{WH}}
{{WS}}

Latest revision as of 20:46, 29 July 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2], Aravind Kuchkuntla, M.B.B.S[3]

Overview

Candida Vulvovaginitis must be differentiated from diseases with similar presentation such as bacterial vaginosis, trichomonas vaginitis and atrophic vaginitis.

Differentiating Candida Vulvovaginitis from other Diseases

Candida Vulvovaginitis must be differentiated from the following diseases which have a similar presentation:[1][2][3][4][5]

Disease Findings
Trichomoniasis
Atrophic vaginitis
Desquamative inflammatory vaginitis
  • Chronic clinical syndrome with unknown etiology
  • Presents with dyspareunia, dyspareunia, yellow, grey, or green profuse vaginal discharge with the signs of vaginal inflammation and elevated vaginal pH (>4.5)
  • Microscopy shows large number of parabasal (immature squamous epithelial cells) and inflammatory cells
Bacterial Vaginosis

References

  1. ↑ Centers for Disease Control and Prevention. 2015 Sexually Transmitted Diseases Treatment Guidelines. Bacterial Vaginosis. http://www.cdc.gov/std/tg2015/bv.htm Accessed on October 13, 2016
  2. ↑ Bachmann GA, Nevadunsky NS (2000). "Diagnosis and treatment of atrophic vaginitis". Am Fam Physician. 61 (10): 3090–6. PMID 10839558.
  3. ↑ Krieger JN, Tam MR, Stevens CE, Nielsen IO, Hale J, Kiviat NB; et al. (1988). "Diagnosis of trichomoniasis. Comparison of conventional wet-mount examination with cytologic studies, cultures, and monoclonal antibody staining of direct specimens". JAMA. 259 (8): 1223–7. PMID 2448502.
  4. ↑ Sobel JD, Reichman O, Misra D, Yoo W (2011). "Prognosis and treatment of desquamative inflammatory vaginitis". Obstet Gynecol. 117 (4): 850–5. doi:10.1097/AOG.0b013e3182117c9e. PMID 21422855.
  5. ↑ Eckert LO, Hawes SE, Stevens CE, Koutsky LA, Eschenbach DA, Holmes KK (1998). "Vulvovaginal candidiasis: clinical manifestations, risk factors, management algorithm". Obstet Gynecol. 92 (5): 757–65. PMID 9794664.
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