[Correlation between clinical characteristics and mycological tests in the vulvovaginitis by Candida]

Ginecol Obstet Mex. 2007 Feb;75(2):68-72.
[Article in Spanish]

Abstract

Background: Vulvovaginitis caused by Candida sp is one of the most frequent infections.

Objectives: To culture and to identify the fungi related to clinical manifestations of patients based on a suspected diagnosis of vulvovaginal candidiasis.

Patients and methods: A prospective, transversal and comparative study was performed on 181 women older than 18 years with vulvovaginitis by Candida sp. A correlation was made between the clinical characteristics of this entity and mycological tests such as direct examination and cultures.

Results: The direct exam or fresh vaginal exam and cervical sample was positive for the different microscopic forms of Candida (blastoconidia, pseudohyphye or pseudomycelia) in 60.8% (110 women); at the same time that cultures were positive for Candida sp in 51.9% (94 patients).

Conclusions: The direct examination and the cultures of vaginal and cervical exudate are mandatory tests for diagnosis of Candida sp in women with vulvovaginitis.

MeSH terms

  • Adult
  • Aged
  • Candida / isolation & purification*
  • Candidiasis / diagnosis*
  • Candidiasis / epidemiology
  • Candidiasis / microbiology*
  • Cross-Sectional Studies
  • Diagnosis, Differential
  • Female
  • Humans
  • Middle Aged
  • Mycological Typing Techniques / methods*
  • Prospective Studies
  • Vulvovaginitis / diagnosis*
  • Vulvovaginitis / epidemiology
  • Vulvovaginitis / microbiology*