Recurrent vaginitis: Diagnostic and treatment difficulties
- Autores: Solovyeva A.V.1
-
Afiliações:
- Peoples’ Friendship University of Russia, Ministry of Education and Science
- Edição: Nº 5 (2017)
- Páginas: 152-155
- Seção: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/248004
- DOI: https://doi.org/10.18565/aig.2017.5.152-5
- ID: 248004
Citar
Texto integral
Acesso aberto
Acesso está concedido
Acesso é pago ou somente para assinantes
Resumo
Background. Recurrent vaginitides, lower urogenital tract diseases occurring at a frequency of 8-30%, are related to diagnostic and treatment difficulties. Case report. The paper describes a case of a complex diagnosis of recurrent vaginal biotope disorder in the presence of premature ovarian failure in a 40-year-old woman with a Mirena intrauterine device. The use of intravaginal agents and systemic antibiotics was short-term effective. Conclusion. After aerobic vaginitis, vulvovaginal candidiasis, and premature ovarian failure were diagnosed, the use of clindacin B prolong, ovipol clio led to the cessation of complaints and clinical manifestations of vaginal biotope disorders.
Palavras-chave
Texto integral
Sobre autores
Alina Solovyeva
Peoples’ Friendship University of Russia, Ministry of Education and ScienceDoctor of medicine, Professor the Department of Obstetrics and Gynecology with a Course of Perinatology
Bibliografia
- Рахматулина М.Р., Малова И.О., Соколовский Е.В., Савичева А.М., Аполихина И.А., Мелкумян А.Г. Федеральные клинические рекомендации по ведению больных бактериальным вагинозом. М.: Российское общество дерматовенерологов и косметологов, Российское общество акушеров-гинекологов; 2015. Доступно по: http://www.cnikvi.ru/docs/clinic_recs/infektsii-peredavaemye-polovym-putem/
- Management of vaginal discharge in non-genitourinary medicine settings. Clinical effectiveness unit. February 2012. Available at: http://www.fsrh.org/ pdfs/CEU GuidanceVaginal Discharge.pdf.
- Donders G.G., Ruban K., Bellen G. Selecting anti-microbial treatment of aerobic vaginitis. Curr. Infect. Dis. Rep. 2015; 17(5): 477. doi: 10.1007/ s 11908-015-0477-6.
- Sobel J.D., Subramanian C., Foxman B., Fairfax M., Gygax S.E. Mixed vaginitis-more than coinfection and with therapeutic implications. Curr. Infect. Dis. Rep. 2013; 15(2): 104-8.
- Castro J., Cerca N. BV and non-BV associated Gardnerella vaginalis establish similar synergistic interactions with other BV-associated microorganisms in dual-species biofilms. Anaerobe. 2015; 36: 56-9.
- Eschenbach D.A. Chronic vulvovaginal candidiasis. N. Engl. J. Med. 2004; 351(9): 851-2.
- Ravel J., Gajer P., Abdo Z., Schneider G.M., Koenig S.S., McCulle S.L. et al. Vaginal microbiome of reproductive-age women. Proc. Natl. Acad. Sci. USA. 2011; 108(Suppl. 1): 4680-7.
- Brotman R.M., Bradford L.L., Conrad M., Gajer P., Ault K., Peralta L. et al. Association between Trichomonas vaginalis and vaginal bacterial community composition among reproductive-age women. Sex. Transm. Dis. 2012; 39(10): 807-12.
- Melvin L., Glasier A., Elton R., Cameron S.T. pH-balanced tampons: do they effectively control vaginal pH? BJOG. 2008; 115(5): 639-45.
- Romero R., Hassan S.S., Gajer P., Tarca A.L., Fadrosh D.W., Nikita L. et al. The composition and stability of the vaginal microbiota of normal pregnant women is different from that of non-pregnant women. Microbiome. 2014; 2(1): 4. doi: 10.1186/2049-2618-2-4.
- Donders G.G. Definition and classification of abnormal vaginal flora. Best Pract. Res. Clin. Obstet. Gynaecol. 2007; 21(3): 355-73.
- Donders G.G., Vereecken A., Bosmans E., Dekeersmaecker A., Salembier G., Spitz B. Definition of a type of abnormal vaginal flora that is distinct from bacterial vaginosis: aerobic vaginitis. BJOG. 2002; 109(1): 34-43.
- Радзинский В.Е., ред. Неразвивающаяся беременность. М.: ГЭОТАР-Медиа; 2016. 176с. [Radzinsky V.E., ed. Non-developing pregnancy. Moscow: GEOTAR-Media; 2016. 176p. (in Russian)]
- Nyirjesy P. Management of persistent vaginitis. Obstet. Gynecol. 2014; 124(6): 1135-46.
- Reichman O., Sobel J. Desquamative inflammatory vaginitis. Best Pract. Res. Clin. Obstet. Gynaecol. 2014; 28(7): 1042-50.
- Fichorova R.N. Impact of T. vaginalis infection on innate immune responses and reproductive outcome. J. Reprod. Immunol. 2009; 83(1-2): 185-9.
Arquivos suplementares
