Candida vulvovaginitis physical examination: Difference between revisions

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

Overview

Candida vulvovaginitis requires a careful examination of the external genitalia, the vaginal sidewalls, as well as the cervix.

Physical Examination

Candida vulvovaginitis requires a careful examination of the external genitalia, the vaginal sidewalls and the cervix. Signs include:^[1]^[2]

Edema and erythema of the vulva and labia
Fissures and excoriations of the external genitalia
Thick whitish vaginal discharge adherent to the vaginal walls
Cervix is not affected and is normal

Gallery

Oral candidiasis on the tongue and soft palate.
Oral manifestations of HIV infection and AIDS. Chronic oral candidiasis in patient with AIDS. Image courtesy of Professor Peter Anderson DVM PhD and published with permission. © PEIR, University of Alabama at Birmingham, Department of Pathology

Soft palate showing extensive oral candidiasis in patient with AIDS. Image courtesy of Professor Peter Anderson DVM PhD and published with permission. © PEIR, University of Alabama at Birmingham, Department of Pathology
Oral candidiasis Image courtesy of Professor Peter Anderson DVM PhD and published with permission. © PEIR, University of Alabama at Birmingham, Department of Pathology

Eczema secondary to candidiasis. Image courtesy of Professor Peter Anderson DVM PhD and published with permission. © PEIR, University of Alabama at Birmingham, Department of Pathology
Candidiasis; skinfold. Image courtesy of Professor Peter Anderson DVM PhD and published with permission. © PEIR, University of Alabama at Birmingham, Department of Pathology

Erythematous candidiasis. Image courtesy of Professor Peter Anderson DVM PhD and published with permission. © PEIR, University of Alabama at Birmingham, Department of Pathology
Genital candidiasis. Image courtesy of Professor Peter Anderson DVM PhD and published with permission. © PEIR, University of Alabama at Birmingham, Department of Pathology

Paronychia: Another manifestation of candidiasis. Image courtesy of Professor Peter Anderson DVM PhD and published with permission. © PEIR, University of Alabama at Birmingham, Department of Pathology
Interdigital candidiasis. Image courtesy of Professor Peter Anderson DVM PhD and published with permission. © PEIR, University of Alabama at Birmingham, Department of Pathology

Candidiasis of umblical cord. White spots of colonies are present. Image courtesy of Professor Peter Anderson DVM PhD and published with permission. © PEIR, University of Alabama at Birmingham, Department of Pathology
Lung: Candidiasis. Postmortem findings. Image courtesy of Professor Peter Anderson DVM PhD and published with permission. © PEIR, University of Alabama at Birmingham, Department of Pathology

Image: Candidiasis 17.jpeg| Candidiasis of the fingernail caused by a fungus of the genus Candida. From Public Health Image Library (PHIL). ^[3]

Skin folds

Candidiasis. Adapted from Dermatology Atlas.^[4]
Candidiasis. Adapted from Dermatology Atlas.^[4]

Genitourinary

Infant presented with a rash formerly known as “Moniliasis” now called Candidiasis caused by the fungus Candida sp. From Public Health Image Library (PHIL). ^[3]
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). ^[3]
Candidiasis. Adapted from Dermatology Atlas.^[4]
Candidiasis. Adapted from Dermatology Atlas.^[4]
Candidiasis. Adapted from Dermatology Atlas.<ref name="Dermatology Atlas">

Candidiasis. Adapted from Dermatology Atlas.^[4]

Oral cavity

Candidiasis. Adapted from Dermatology Atlas.^[4]
Candidiasis. Adapted from Dermatology Atlas.^[4]
Candidiasis. Adapted from Dermatology Atlas.^[4]

References

↑ 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.
↑ Eckert LO (2006). "Clinical practice. Acute vulvovaginitis". N. Engl. J. Med. 355 (12): 1244–52. doi:10.1056/NEJMcp053720. PMID 16990387.
↑ ^3.0 ^3.1 ^3.2 "Public Health Image Library (PHIL)".
↑ ^4.0 ^4.1 ^4.2 ^4.3 ^4.4 ^4.5 ^4.6 ^4.7 ^4.8 "Dermatology Atlas".

Template:WS

[pmid97946643-1] 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.

[pmid16990387-2] Eckert LO (2006). "Clinical practice. Acute vulvovaginitis". N. Engl. J. Med. 355 (12): 1244–52. doi:10.1056/NEJMcp053720. PMID 16990387.

[PHIL-3] 3.0 ^3.1 ^3.2 "Public Health Image Library (PHIL)".

[Dermatology_Atlas-4] 4.0 ^4.1 ^4.2 ^4.3 ^4.4 ^4.5 ^4.6 ^4.7 ^4.8 "Dermatology Atlas".

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@@ Line 5: / Line 5: @@
 [[Candida]] [[vulvovaginitis]] requires a careful examination of the external genitalia, the vaginal sidewalls, as well as the cervix.
 ==Physical Examination==
-[[Candida]] [[vulvovaginitis]] requires a careful examination of the external genitalia, the vaginal sidewalls, as well as the cervix. Signs include:<ref name="pmid9794664">{{cite journal |vauthors=Eckert LO, Hawes SE, Stevens CE, Koutsky LA, Eschenbach DA, Holmes KK |title=Vulvovaginal candidiasis: clinical manifestations, risk factors, management algorithm |journal=Obstet Gynecol |volume=92 |issue=5 |pages=757–65 |year=1998 |pmid=9794664 |doi= |url=}}</ref><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>
+[[Candida]] [[vulvovaginitis]] requires a careful examination of the [[external genitalia]], the vaginal sidewalls and the [[cervix]]. Signs include:<ref name="pmid97946643">{{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><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>
-*Vulvar edema or erythema
+*[[Edema]] and [[erythema]] of the [[vulva]] and labia
-*Fissures and excoriations of the external genitalia, and/or
+*[[Fissures]] and excoriations of the [[external genitalia]]
-*Thick, white vaginal discharge.
+*Thick whitish vaginal discharge adherent to the vaginal walls
+*[[Cervix]] is not affected and is normal
 ==Gallery==