Candida vulvovaginitis laboratory findings: Difference between revisions
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==Laboratory Findings== | ==Laboratory Findings== | ||
The | The laboratory findings consistent with the diagnosis of [[Candida]] [[vulvovaginitis]] include:<ref name="pmid16990387">{{cite journal |vauthors=Eckert LO |title=Clinical practice. Acute vulvovaginitis |journal=N. Engl. J. Med. |volume=355 |issue=12 |pages=1244–52 |year=2006 |pmid=16990387 |doi=10.1056/NEJMcp053720 |url=}}</ref><ref name="pmid22519657">{{cite journal |vauthors=Mendling W, Brasch J |title=Guideline vulvovaginal candidosis (2010) of the German Society for Gynecology and Obstetrics, the Working Group for Infections and Infectimmunology in Gynecology and Obstetrics, the German Society of Dermatology, the Board of German Dermatologists and the German Speaking Mycological Society |journal=Mycoses |volume=55 Suppl 3 |issue= |pages=1–13 |year=2012 |pmid=22519657 |doi=10.1111/j.1439-0507.2012.02185.x |url=}}</ref><ref name="pmid17560449">{{cite journal |vauthors=Sobel JD |title=Vulvovaginal candidosis |journal=Lancet |volume=369 |issue=9577 |pages=1961–71 |year=2007 |pmid=17560449 |doi=10.1016/S0140-6736(07)60917-9 |url=}}</ref> | ||
*[[Vaginal]] pH: | *[[Vaginal]] pH: [[vaginal]] pH is normal (ranges from 4.0-4.5) | ||
* | *[[Wet mount]] or Saline preparation: It will help in detection of [[hyphae]], [[clue cells]] and motile [[trichomonas]] differentiating different causes of [[vaginitis]]. | ||
*Culture: | *[[10% Potassium hydroxide preparation]]: It is more sensitive than [[wet mount]] to demonstrate budding [[blastospores]] or [[pseudohyphae]]. | ||
*Culture: [[Culture]] for diagnosing [[candida]] [[vulvovaginitis]] not recommended in patients with positive microscopy. However, it should be done in a symptomatic woman with a negative microscopy and a normal vaginal [[pH]]. Culture using [[Sabouraud agar]], [[Nickerson’s medium]], or Microstix-Candida medium identify [[candida]] [[species]] with equal sensitivity. | |||
==Gallery== | ==Gallery== | ||
Revision as of 14:57, 1 May 2017
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Candidiasis Main page |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dima Nimri, M.D. [2]
Overview
The diagnosis of Candida vulvovaginitis is based on the clinical findings, supported by laboratory findings. Laboratory studies done for diagnosis include measurement of the vaginal pH, visualization of hyphae on wet mount/ microscopy, as well as culture.
Laboratory Findings
The laboratory findings consistent with the diagnosis of Candida vulvovaginitis include:[1][2][3]
- Vaginal pH: vaginal pH is normal (ranges from 4.0-4.5)
- Wet mount or Saline preparation: It will help in detection of hyphae, clue cells and motile trichomonas differentiating different causes of vaginitis.
- 10% Potassium hydroxide preparation: It is more sensitive than wet mount to demonstrate budding blastospores or pseudohyphae.
- Culture: Culture for diagnosing candida vulvovaginitis not recommended in patients with positive microscopy. However, it should be done in a symptomatic woman with a negative microscopy and a normal vaginal pH. Culture using Sabouraud agar, Nickerson’s medium, or Microstix-Candida medium identify candida species with equal sensitivity.
Gallery
-
![Wet mounted vaginal smear specimen, revealed the presence of Candida albicans, which had been extracted from a patient with vaginal candidiasis. From Public Health Image Library (PHIL). [4]](/images/b/bf/Moniliasis01.jpeg)
Wet mounted vaginal smear specimen, revealed the presence of Candida albicans, which had been extracted from a patient with vaginal candidiasis. From Public Health Image Library (PHIL). [4]
![Wet mounted vaginal smear specimen, revealed the presence of Candida albicans, which had been extracted from a patient with vaginal candidiasis. From Public Health Image Library (PHIL). [4]](/index.php/File:Moniliasis01.jpeg)
References
- ↑ Eckert LO (2006). "Clinical practice. Acute vulvovaginitis". N. Engl. J. Med. 355 (12): 1244–52. doi:10.1056/NEJMcp053720. PMID 16990387.
- ↑ Mendling W, Brasch J (2012). "Guideline vulvovaginal candidosis (2010) of the German Society for Gynecology and Obstetrics, the Working Group for Infections and Infectimmunology in Gynecology and Obstetrics, the German Society of Dermatology, the Board of German Dermatologists and the German Speaking Mycological Society". Mycoses. 55 Suppl 3: 1–13. doi:10.1111/j.1439-0507.2012.02185.x. PMID 22519657.
- ↑ Sobel JD (2007). "Vulvovaginal candidosis". Lancet. 369 (9577): 1961–71. doi:10.1016/S0140-6736(07)60917-9. PMID 17560449.
- ↑ "Public Health Image Library (PHIL)".