title: Vulvovaginitis. When Candida becomes a problem.
abstract: Problematic vaginitis due to Candida presents both a diagnostic and therapeutic challenge. An essential first step is confirmation of clinical diagnosis and avoidance of empiricism. Once correctly diagnosed, most episodes of vaginitis due to Candida are uncomplicated, responding to all forms of antifungal therapy. Unfortunately, increased numbers of complicated cases now occur requiring additional microbiological study and longer duration therapy with selected antifungal agents.
authors.affiliation: Division of Infectious Diseases, Detroit Medical Center, Wayne State University School of Medicine, Michigan, USA.
authors.forename: J D
authors.initials: JD
authors.lastname: Sobel
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D001393:Azoles / Q000627:therapeutic use; D002175:Candida / Q000145:classification; D002176:Candida albicans / Q000187:drug effects; D002181:Candidiasis, Vulvovaginal / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D004352:Drug Resistance, Microbial; D005260:Female; D006801:Humans; D006863:Hydrogen-Ion Concentration; D011237:Predictive Value of Tests; D012008:Recurrence; D012749:Sexually Transmitted Diseases / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D014848:Vulvovaginitis / Q000209:etiology / Q000382:microbiology*
chemical_list: D000935:Antifungal Agents; D001393:Azoles