A Vulvovaginal Yeast Infection Caused by Cryptococcus victoriae in Vietnam: A Rare Case Report.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Journal of investigative medicine high impact case reports Pub Date : 2024-01-01 DOI:10.1177/23247096241237756
Hoang Dinh Canh, Cao Ba Loi, Dao Nguyen Hung, Le Thi Hong Van, Nguyen Thi Nhu Quynh, Do Thi Thuy Dung, Nguyen Ngoc Tuan, Do Ngoc Anh
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Abstract

Cases of vulvovaginitis caused by Cryptococcus genus are exceedingly uncommon, with only a handful of instances having been described for this causative species. This report describes a rare case of vulvovaginitis suspected to be caused by Cryptococcus victoriae in a 58-year-old woman residing in an urban area of Hanoi city, Vietnam. The patient with a 10-year history of depression and type 2 diabetes mellitus was admitted to the hospital due to vulvar itching and vaginal discharge. Vaginal swabs confirmed the presence of a yeast infection by direct microscopic examination with 10% KOH and culture on CHROMagar Candida. The yeast was identified as C victoriae using genetic sequencing tools. The patient's treatment plan involved topical clotrimazole and a daily oral dose of 200 mg of itraconazole for 7 days. This comprehensive treatment approach resulted in the patient's full recovery. This is the first reported case of vulvovaginitis attributed to C victoriae in humans worldwide.

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越南一例由胜利隐球菌引起的外阴酵母菌感染:罕见病例报告。
由隐球菌属引起的外阴阴道炎病例极为罕见,仅有少数病例描述了这一致病菌种。本报告描述了一例疑似由隐球菌引起的外阴阴道炎的罕见病例,患者是一名居住在越南河内市城区的 58 岁女性。患者有 10 年抑郁症和 2 型糖尿病病史,因外阴瘙痒和阴道分泌物而入院。阴道拭子经 10%KOH直接显微镜检查和 CHROMagar 念珠菌培养证实存在酵母菌感染。使用基因测序工具确定该酵母菌为胜利酵母菌。患者的治疗方案包括外用克霉唑和每天口服 200 毫克伊曲康唑,连续 7 天。这种综合治疗方法使患者完全康复。这是世界上首例报道的由维多利亚女王疮疖引起的人类外阴阴道炎病例。
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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
165
审稿时长
12 weeks
期刊介绍: The AFMR is committed to enhancing the training and career development of our members and to furthering its mission to facilitate the conduct of research to improve medical care. Case reports represent an important avenue for trainees (interns, residents, and fellows) and early-stage faculty to demonstrate productive, scholarly activity.
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