Cytolytic vaginosis: misdiagnosed as candidal vaginitis

Objectives: In this study, 210 women with vaginal discharge and other symptoms/signs of genital pathology suggestive of vulvovaginal candidiasis (VVC) were involved in order to distinguish true VVC and cytolytic vaginosis (CV) cases. Methods: Fungal cultures, 10% potassium hydroxide (KOH) and Gram s...

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Bibliographic Details
Published in:Infectious Diseases in Obstetrics and Gynecology 2004, Vol.2004 (1), p.13-16
Main Authors: Cerikcioglu, Nilgun, Beksac, M Sinan
Format: Article
Language:English
Subjects:
Adult
Candidiasis, Vulvovaginal - diagnosis
Candidiasis, Vulvovaginal - microbiology
Female
Fungi
Gynecology
Humans
Infectious diseases
Medical diagnosis
Obstetrics
Pathology
Vaginal Smears
Vaginosis, Bacterial - diagnosis
Vaginosis, Bacterial - microbiology
Women
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Summary:Objectives: In this study, 210 women with vaginal discharge and other symptoms/signs of genital pathology suggestive of vulvovaginal candidiasis (VVC) were involved in order to distinguish true VVC and cytolytic vaginosis (CV) cases. Methods: Fungal cultures, 10% potassium hydroxide (KOH) and Gram stained preparations and pH measurements were performed on the vaginal discharge material of each patient. Results: Fifteen patients (7.1%) were diagnosed with cytolytic vaginosis according to their clinical and microbiological findings, including abundant lactobacilli, fragmented epithelial cells and/or free nuclei due to cytolysis, seen in their discharge materials on microscopic examination, but no fungal growth. Conclusions: The results of this study may contribute to the reports in the literature indicating the importance of such disorders, which are generally misdiagnosed as candidiasis.
ISSN:1064-7449
1098-0997
DOI:10.1080/10647440410001672139