Vaginal yeast infections

EF is a 45-year-old woman who presents to the dermatologist for evaluation of facial acne. She has a history of a 25 lb (11.36 kg) weight gain, irregular menses, and frequent vaginal yeast infections over the past 2 years. She complains of increased facial hair growth and lower extremity muscle weakness. Physical examination reveals facial acne, facial hirsutism, truncal obesity, thin skin, and purple abdominal striae. Her past medical history is significant for hypertension, type 2 diabetes mellitus, hyperlipidemia, and rheumatoid arthritis. 

Prophylaxis To decrease the incidence of candidiasis in patients undergoing bone marrow transplantation who receive cytotoxic chemotherapy or radiation therapy. Vaginal candidiasis Vaginal candidiasis (vaginal yeast infections caused by Candida). 

Candida is a genus of yeast that when allowed to grow excessively, can lead to a (vaginal) yeast infection. This yeast infection can arise in MCS patients from time to time. Anal itching is also often a sign that there is too much Candida in the intestines. 

Butoconazole Antifungal Vaginal yeast infections Gynazole-1 2.0... 

Shaw K. Vaginal yeast infections. Pharm Times 1998 64(Dec) 57— 58, 60. 

The symptoms started after prolonged treatment with antibiotics for lung infections. She had chronic vaginal yeast infection, intermittent diarrhea, fatigue, acne (although she was 34 years old), arthritis, headaches, and difficulty concentrating. 

Good oral hygiene and regular visits to the dentist can prevent gum disease. Women should be aware of increased susceptibility to vaginal yeast infections. 

A number of side effects are related to the use of penicillin. These side effects include diarrhea, upset stomach, and vaginal yeast infections. In those individuals who are allergic... 

The most common cause of yeast infections is Candida albicans, which is part of the normal flora in a significant portion of the population where it resides in the oropharynx, gastrointestinal tract, vagina, and surrounding skin (4). It is the principal cause of vaginal yeast infections and oral yeast infections (thrush). These commonly occur in mucosal tissue when the normal population of flora has been disturbed by treatment of a bacterial infection with an antibiotic or when growth conditions are... 

For example, female patients are instmcted to drink buttermilk and eat yogurt when taking a broad-spectmm antibiotic. This counters a possible vaginal yeast infection, which is a common adverse effect of broad-spectrum antibiotics. Additionally, a female patient should be instmcted to use other forms of birth control when taking this medication because antibiotics lower the effectiveness of birth control piUs. 

Fungi, such as Candida spp. (yeast), are normal flora of mouth, skin, intestine, and vagina. Candidiasis might be an opportunistic infection when the defense mechanisms are impaired. Antibiotics, oral contraceptives, and immunosuppressives may alter the body s defense mechanisms. Infections can be mild (vaginal yeast infection) or severe (systemic fungal infection). 

Superinfections are a potential compK-cation of antibiotic therapy. Vaginal yeast infections occur when the good bacteria are killed off by the antibiotic. Diarrhea from destruction of intestinal flora is also a possibility. 

The female client tells the clinic nurse that she has frequent vaginal yeast infections and uses an over-the-counter preparation to cure the infections. Which is the nurse s first response ... 

Following is the structure of miconazole, the active antifungal agent in a number of over-the-counter preparations, including Monistat, that are used to treat vaginal yeast infections. One of the compounds needed for the synthesis of miconazole is the trichloro derivative of toluene shown on its right. 

---