What is the diagnosis and treatment for the patient with vulvovaginitis candidiásica? The patient is a 23-year-old woman with uncontrolled DM2, wh...
What is the diagnosis and treatment for the patient with vulvovaginitis candidiásica?
The patient is a 23-year-old woman with uncontrolled DM2, who presents with vulvar pruritus and dense whitish leucorrhea without a bad odor, and a positive culture for Candida albicans and no altered vaginal pH. The diagnosis is vulvovaginitis candidiásica NO complicada.
The treatment for vulvovaginitis candidiásica is fluconazole 100 mg, 150 mg, or 200 mg orally every 3 days for three doses (days 1, 4, and 7), and nystatin 100,000 IU one tablet or vaginal ovule, vaginally for 14 days.
The patient should have basic laboratory tests and glycated hemoglobin, and a new appointment in 1 week for gynecological reevaluation.
The patient is a 23-year-old woman with uncontrolled DM2, who presents with vulvar pruritus and dense whitish leucorrhea without a bad odor, and a positive culture for Candida albicans and no altered vaginal pH. The diagnosis is vulvovaginitis candidiásica NO complicada.
The treatment for vulvovaginitis candidiásica is fluconazole 100 mg, 150 mg, or 200 mg orally every 3 days for three doses (days 1, 4, and 7), and nystatin 100,000 IU one tablet or vaginal ovule, vaginally for 14 days.
The patient should have basic laboratory tests and glycated hemoglobin, and a new appointment in 1 week for gynecological reevaluation.
💡 1 Resposta
Ed 
O diagnóstico para a paciente com vulvovaginite candidiásica não complicada é feito com base nos sintomas apresentados, cultura positiva para Candida albicans e pH vaginal normal. O tratamento recomendado é o uso de fluconazol 100 mg, 150 mg ou 200 mg oral a cada 3 dias por três doses (dias 1, 4 e 7), e nistatina 100.000 UI em um comprimido ou óvulo vaginal, por via vaginal, por 14 dias. É importante que a paciente realize exames laboratoriais básicos e hemoglobina glicada, e retorne para reavaliação ginecológica em 1 semana. É importante lembrar que o tratamento deve ser prescrito por um médico e que a automedicação pode ser perigosa.
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