A Woman with Pruritus Vulvae (2)

  • Alexander McMillan


Margaret (Case 11 and 24) returns to the Sexual Health clinic 6 years later with a 4 week history of vulval itch. Although she has had no recurrences of candidiasis for 3 years, she thought that candidiasis was the most likely cause of her symptoms and she self-medicated with oral fluconazole and topical clotrimazole, obtained over the counter from a pharmacy. Her symptoms, however, remain unchanged and she consults you for advice. When you examine her, the findings are similar to those described previously, but you decide to send a specimen of vaginal discharge to the laboratory to confirm the diagnosis.


Boric Acid Candidal Infection Vaginal Discharge Candida Glabrata Oral Fluconazole 
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Copyright information

© Springer-Verlag London 2009

Authors and Affiliations

  1. 1.Department of Genitourinary MedicineNHS Lothian, Edinburgh Royal InfirmaryEdinburghUK
  2. 2.University of EdinburghEdinburghUK

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