Candida Vulvovaginitis

A. Candida is the second most common diagnosis associated with vaginal symptoms. It is found in 25% of asymptomatic women. Fungal infections account for 33% of all vaginal infections.

B. Patients with diabetes mellitus or immunosuppressive conditions such as infection with the human immunodeficiency virus (HIV) are at increased risk for candidal vaginitis. Candidal vaginitis occurs in 25-70% of women after antibiotic therapy.

C. Symptoms. The most common symptom is pruritus. Vulvar burning and an increase or change in consistency of the vaginal discharge may be noted.

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