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Candidiasis

by Carlo Raj, MD
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    00:01 Here in the female reproductive unit, we'll be taking a look at sexually transmitted infections.

    00:07 We'd behoove you to take a look at your microbiology as well so you know the details about some of the organisms that I shall be diving into.

    00:16 We'll begin our discussion by looking at the important topic of vaginosis.

    00:21 There'll be three different families of vaginoses that you'll be responsible for.

    00:26 Fungal, bacterial, protozoal.

    00:32 Our topic here first begins with the fungal candidal infections.

    00:37 10% of women are carriers of vulvovaginal fungi, 10%.

    00:43 White patches is what you'd expect to find but that should be of no surprise because wherever candida is infecting you, you would expect to find white patches.

    00:53 Here, the discharge that the female would be having will be called leukorrhea.

    00:58 And along with this, there is pretty intense itching that is accompanied with it.

    01:05 The predisposing factors in which your patient will be developing candidal infection would be -- well, what if there is increased glucose for the organism to munch upon? Welcome to diabetes mellitus.

    01:18 Also, oral contraceptives in pregnancy may enhance the development of the infection.

    01:23 Now, what you need to keep in mind is I showed you earlier a normal cervix.

    01:29 And whenever there's an infection, that cervix will then appear as being fiery red.

    01:34 Fiery red.

    01:35 So the underlying tissue will be infected and so therefore undergo an inflammatory process and that will be red.

    01:42 However, the actual substance that is being secreted will be leukorrhea and white.

    01:47 What we're looking at here upon your wet mount would be pseudohyphae.

    01:51 would be pseudohyphae.

    01:53 Remember these fungi do not contain true hyphae.

    01:57 They are yeast that have been then elongated and so therefore, you call this pseudohyphae.

    02:02 That is an important description.

    02:04 You either know it by description or you know it by picture as you see here in the image.


    About the Lecture

    The lecture Candidiasis by Carlo Raj, MD is from the course Sexually Transmitted Diseases (STDs).


    Included Quiz Questions

    1. Wet mount
    2. Pap smear and colposcopy
    3. Urine culture and sensitivity
    4. PCR for HPV DNA
    5. VDRL
    1. Diabetes, HIV, chemotherapy, antibiotic therapy and steroid or immunosuppressant use
    2. Hypertension
    3. Smoking
    4. Concomitant STDs
    5. OCPs

    Author of lecture Candidiasis

     Carlo Raj, MD

    Carlo Raj, MD


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