Vulvovaginal candidiasis in Child
Risk factors for developing infections after menarche are similar to adults: antibiotic use, obesity, autoimmune conditions, douching, steroid use, intercourse, and birth control use.
Risk factors for premenarchal yeast infections include diaper use, antibiotic use, and steroid use. Infections will be more common in children with diabetes.
Patients may complain of pruritus, white discharge, dysuria and, in sexually active girls, possibly dyspareunia.
On examination, a typical appearance includes a thick, white vaginal discharge and/or erythema of the vulva and surrounding skin, with or without scale.
B37.3 – Candidiasis of vulva and vagina
72934000 – Vaginal candidiasis
Differential Diagnosis & Pitfalls
- Candida infection often complicates all irritated vulvar eruptions (lichen sclerosus, lichen simplex chronicus, etc). Candidiasis can cause cyclic vulvovaginitis, which occurs at the same time each month around the menses with minimal discharge. Pre-menarchal girls are a common group to have lichen sclerosus.
- Allergic contact dermatitis
- Irritant contact dermatitis
- Molluscum contagiosum
- Pinworm infection
- Foreign body in vagina
- Sexual abuse
Drug Reaction Data