Sobel J D
Division of Infectious Diseases, Detroit Medical Center, Wayne State University School of Medicine, Michigan, USA.
Dermatol Clin. 1998 Oct;16(4):763-8, xii. doi: 10.1016/s0733-8635(05)70043-7.
Problematic vaginitis due to Candida presents both a diagnostic and therapeutic challenge. An essential first step is confirmation of clinical diagnosis and avoidance of empiricism. Once correctly diagnosed, most episodes of vaginitis due to Candida are uncomplicated, responding to all forms of antifungal therapy. Unfortunately, increased numbers of complicated cases now occur requiring additional microbiological study and longer duration therapy with selected antifungal agents.
念珠菌引起的问题性阴道炎在诊断和治疗方面都具有挑战性。首要的关键步骤是确认临床诊断并避免经验主义。一旦正确诊断，大多数念珠菌性阴道炎病例并不复杂，对各种形式的抗真菌治疗均有反应。不幸的是，现在出现了越来越多的复杂病例，需要进行额外的微生物学研究，并使用特定的抗真菌药物进行更长疗程的治疗。
