ABSTRACT
Background: Vulvovaginitis caused by Candida sp is one of the most frequent infections.
Objectives: To culture and to identify the fungi related to clinical manifestations of patients based on a suspected diagnosis of vulvovaginal candidiasis.
Patients and methods: A prospective, transversal and comparative study was performed on 181 women older than 18 years with vulvovaginitis by Candida sp. A correlation was made between the clinical characteristics of this entity and mycological tests such as direct examination and cultures.
Results: The direct exam or fresh vaginal exam and cervical sample was positive for the different microscopic forms of Candida (blastoconidia, pseudohyphye or pseudomycelia) in 60.8% (110 women); at the same time that cultures were positive for Candida sp in 51.9% (94 patients).
Conclusions: The direct examination and the cultures of vaginal and cervical exudate are mandatory tests for diagnosis of Candida sp in women with vulvovaginitis.
Key words: candidiasis, Candida sp, vulvovaginits, diagnosis, direct examination, culture.
RÉSUMÉ
Antécédents : la vulvo-vaginite provoquées par Candida sp est une des infections les plus fréquentes.
Objectifs : faire la culture et identifier les microorganismes mycosiques liés aux manifestations cliniques des patientes ayant comme base un diagnostic présomptif de candidose vulvo-vaginale.
Matériel et méthodes : étude prospective, transversale et comparative de vulvo-vaginite chez 181 femmes avec un âge supérieur à 18 ans. On a fait la corrélation des manifestations cliniques de la candidose vulvo-vaginale avec des études mycosiques à l’aide des examens directs ou échantillons frais et des cultures.
Résultats : l’examen direct ou en frais de l’exsudat vaginal et cervical a été positif pour les types différents de Candida (blastoconidies, pseudo-hyphes ou pseudo-mycélium) en 60.8% (110 femmes). La culture mycologique a été positive pour Candida sp en 51.9% (94 patientes).
Conclusions : l’examen direct ou en frais et la culture sont des études obligatoires pour le diagnostic de vulvo-vaginite provoquée par Candida sp.
Mots-clé : candidose, Candida sp, vulvo-vaginite, diagnostic, examen direct, cultures.
RESUMO
Antecedentes: a vulvovaginite causada por Candida sp é uma das infeções de maior frequência.
Objetivos: cultivar e identificar os microorganismos micóticos relacionados com as manifestações clínicas das pacientes baseando-se num diagnóstico presuntivo de candidíase vulvovaginal.
Material e métodos: estudo prospetivo transversal e comparativo de vulvovaginite em 181 mulheres de mais de 18 anos de idade. Correlacionaram-se as manifestações clínicas da candidíase vulvovaginal com estudos micológicos mediante exames diretos ou em fresco e cultivos.
Resultados: o exame direto ou em fresco du exudado vaginal e cervical foi positivo para os diferentes tipos de Candida (blastoconídias, pseudohifas) no 60,8% (110 mulheres). O cultivo micológico foi positivo para Candida sp no 51,9% (94 pacientes).
Conclusões: o exame direto ou em fresco e o cultivo são estudos obrigatórios para o diagnóstico de vulvovaginite causada por Candida sp.
Palavras chave: candidíase, Candida sp, vulvovaginite, diagnóstico, exame direto, cultivos.
