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Article
Candida Vulvovaginitis in pregnancy

Authors: Sawsan A. Hussien --- Eman E. Yousif
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2010 Volume: 52 Issue: 2 Pages: 185-187
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Vulvovaginal candiddiasis is an opportunistic mucosal infection caused by Candida albicans that affects large number of otherwise healthy women of child bearing age. Acute episodes often occur during pregnancy.Patients and methods: This study was done on 50 pregnant women with Candida vulvovagnitis who were diagnosed by direct microscopic examination, culture technique, germ tube production, chlamydospore, and Api 20 candida system, at Baghdad Teaching Hospital in the period between October 2008 to February 2009.
Results: The study group included 50 pregnant women with Candida vulvovaginitis . The percentage of pregnant women with Candida albicans infection who their age is higher than 30 years old is 100 %( 23cases), while the percentage is high as 100 % (36cases) in pregnant women whom their gestational age more than 37 week gestation. On the other hand the percentage of pregnant women who have children more than 3 (100%) (12cases). Candida albicans was occurred more frequently when pregnant women suffered from diabetes mellitus 100 %( 14cases). Conclusion: Direct relationship was detected between the percentage of infection and the age of the mother, gestational age, parity, and the presence of diabetes mellitus, the higher the age of the mother, gestational age, parity, and the presence of diabetes mellitus, the higher percentage of infection with Candida albicans during pregnancy.

Keywords

Candida --- vulvovaginitis --- pregnancy.


Article
Cervico-Vaginal Candidiasis in Married Women
التهاب المهبل وعنق الرحم بداء المبيضات (الفطريات المهبلية) عند النساء المتزوجات

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Abstract

The present study is aimed to identify the isolated yeasts from vagina and cervix of the pregnant and non-pregnant women. The study included 100 patients (50 pregnant; 50 non-pregnant women), in addition to 50 apparently healthy women. The clinical specimen were collected during the period from December 2013 to May 2014. From each patient high vaginal and endo cervical swabs were collected, in addition to the control group. Three slides were prepared from each swab for direct examination (Slide immersed in normal saline, slide immersed in 20% KOH wet mount and Gram stained slide).The clinical specimens cultured on Sabouraudʼs agar and Brain heart infusion blood agar. Each culture was identified to yeast species by germ tube test, Chrom agar and API 20 C system. The tested women considered infected with Candida spp when the culture from the clinical specimen for each contain > 10 colonies together with positive direct examination and symptoms and signs. The main isolates were C.albicans from pregnant (84.8% from vagina ; 89.7% from cervix) and non-pregnant (66.7% from vagina ; 64.3% from cervix) women. In addition to the control (50% from vagina ; 0% from cervix) group.

تهدف الدراسة الحالية الى تمييز الخمائر المعزولة من المهبل وعنق الرحم للنساء المصابات الحوامل وغير الحوامل. شملت الدراسة 100 مريضة (50 من الحوامل , 50 من غير الحوامل) بالإضافة الى مجموعة السيطرة التي شملت 50 امرأة من الاصحاء ظاهريا ومن غير الحوامل. تم جمع العينات السريرية للفترة من كانون الأول 2013 لغاية أيار 2014. اخذت مسحة من المهبل وأخرى من عنق الرحم من كل امرأة مصابة, بالإضافة الى مجموعة السيطرة. تم تحضير3 شرائح من كل مسحة للفحص المباشر (شريحة مغمسة بالسيلان، شريحة مغمسة في 20% KOH وثالثة صبغت بصبغة Gram). العينات السريرية زرعت على Sabouraud's agar وBrain heart infusion blood agar. تم تمييز كل مزرعة الى جنس الخميرة بواسطة Germ tube، Chrom agar ونظام API 20 C. النساء اللاتي اجري فحصهن اعتبرن مصابات بالفطريات المهبلية عندما كان عدد المستعمرات في كل زرعة لكل عينة سريرية اكثر من 10 مستعمرات بالإضافة الى ايجابية الفحص المباشر والاعراض والعلامات. اهم العزلات كانت المبيضات البيضاء C.albicans من النساء الحوامل (84.8% من المهبل, 89.7% من عنق الرحم) ومن النساء الغير الحوامل (66.7% من المهبل , 64.3% من عنق الرحم). بالإضافة الى مجموعة السيطرة (50% من المهبل , 0% من عنق الرحم).

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