Kandidiasis Vulvovaginalis dalam Kehamilan Gemeli

Winda Sofvina, Robiatul Adawiyah, Inawaty Inawaty, Nurul Amalia, Sri Wahdini

Abstract

Vulvovaginitis is inflammation of the vulva and vagina caused by Candida spp, bacteria, and Trichomonas vaginalis. Clinical symptoms of vulvovaginitis include itching, burning, and vaginal discharge. Many women buy over-the-counter drugs and treat themselves without knowing the cause of their vulvovaginitis, so the treatment they get is not optimal, therefore, an examination is needed to determine the organism causing the vulvovaginitis. This case report was made to know the cause of vulvovaginitis in a patient. A 25-year-old woman came with complaints of odorless yellowish-white vaginal discharge, complaints accompanied by itching, and dysuria. The patient is pregnant with a gestational age of 28-29 weeks. On physical examination, the vulva appears reddish, vaginal discharge is yellowish-white. On direct microscopic examination, yeast cells and pseudohyphae were found. Culture on SDA+ agar produced colonies of Candida sp.

Keywords

Vulvovaginitis, Candida, vaginal discharge

References

Venugopal S, Gopalan K, Devi A, Kavitha A. Epidemiology and clinico-investigative study of organisms causing vaginal discharge. Indian Journal of Sexually Transmitted Diseases. 2017;38: 69–75.

Gor HB. Vaginitis: practice essentials, pathophysiology, etiology. Medscape. 2018.

Aguin TJ, Sobel JD. Vulvovaginal candidiasis in pregnancy. Current Infectious Disease Reports. 2015;17(6):15–20.

Waikhom SD, Afeke I, Kwawu GS, Mbroh HK, Osei GY, Louis B, et al. Prevalence of vulvovaginal candidiasis among pregnant women in the Ho municipality, Ghana : species identification and antifungal susceptibility of Candida isolates. 2020;3:1–14.

R Jeanmonod, Jeanmonod D. Vaginal Candidiasis - StatPearls - NCBI Bookshelf. StatPearls Publishing; 2020.

Sardi JDCO, Silva DR, Anibal PC, de Campos Baldin JJCM, Ramalho SR, Rosalen PL, et al. Vulvovaginal Candidiasis: Epidemiology and risk factors, pathogenesis, resistance, and new therapeutic options. Current Fungal Infection Reports. 2021;15(1):32–40.

Mursinah, Ibrahim F, Wahid MH. Profil Candida penyebab kandidemia dan pola kepekaan terhadap anti jamur pada pasien sakit kritis di Rumah Sakit Cipto Mangunkusumo. Indonesian Journal of Biotechnology Medicine. 2016; 5(2): 105–11.

Widasmara D, Suyoso S, Murtiastutik D. Profil spesies candida dari kandidiasis vulvovaginalis pada pasien HIV / AIDS yang mendapat antibiotik sistemik (Candida species profile of vulvovaginal candidiasis in HIV / AIDS patients treated with systemic antibiotic ). Berkala Ilmu Kesehatan Kulit dan Kelamin. 2014;26(3):202-6.

Walangare T, Hidayat T, Basuki S. Profil spesies candida pada pasien kandidiasis oral dengan infeksi HIV & AIDS (The profile of Candida species in oral candidiasis patient with HIV & AIDS infection). Berkala Ilmu Kesehatan Kulit dan Kelamin. 2014;26(1):29–35.

Sustr V, Foessleitner P, Kiss H, Farr A. Vulvovaginal candidosis: Current concepts, challenges and perspectives. Journal of Fungi. 2020;6(4):1–14.

Farr A, Effendy I, Frey B, Herbert T, Peter H, Petricevic L, et al. Guideline : Vulvovaginal candidosis ( AWMF 015 / 072 , level S2k ). 2021;(January):583–602.

Jacob L, John M, Kalder M, Kostev K. Prevalence of vulvovaginal candidiasis in gynecological practices in Germany: A retrospective study of 954,186 patients. Current Medical Mycology. 2018;4(1):6–11.

Zeng X, Zhang Y, Zhang T, Xue Y, Xu H, An R. Risk factors of vulvovaginal candidiasis among women of reproductive age in Xi’an: A Cross-Sectional Study. BioMed Research International. 2018;2018.

Saxon C, Edwards A, Rautemaa-Richardson R, Owen C, Nathan B, Palmer B, et al. British Association for sexual health and HIV national guideline for the management of vulvovaginal candidiasis (2019). International Journal of STD and AIDS. 2020;31(12):1124–44.

DOI: https://doi.org/10.26891/JIK.v18i2.2024.162-166

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