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Vulvovaginal candidiasis in Child
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Vulvovaginal candidiasis in Child

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Contributors: Mitchell Linder MD, David Foster MD, Mary Gail Mercurio MD, Lynne Margesson MD, Susan Burgin MD
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Synopsis

Vulvovaginal candidiasis usually is caused by Candida albicans but occasionally is caused by other Candida sp. or yeasts. Although it can be common in teenagers, it is rarer before puberty.

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.

Codes

ICD10CM:
B37.3 – Candidiasis of vulva and vagina

SNOMEDCT:
72934000 – Vaginal candidiasis

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Reviewed: 12/14/2018
Last Updated: 01/09/2019
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Vulvovaginal candidiasis in Child
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Vulvovaginal candidiasis : Erythema, Vaginal discharge, Vaginal-labial itching, Dyspareunia, Dysuria
Lab image of Vulvovaginal candidiasis
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