Vulvovaginal Candidiasis in Antenatal Women with Special Reference to Sap Gene Virulence and Resistance Pattern of Candida Species
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Abstract
Vulvovaginal candidiasis (VVC) is a disguising disease in women. The usual
newlinepresentations are persistent curdy white vaginal discharge with bad odour, itching,
newlineirritation, pain in the lower abdomen and local induration (vulva). Thus this is an
newlineunpleasant disease and becomes a cause of physical and mental agony. During the
newlinereproductive age of 18 to 45 years, VVC is a standout amongst the most widely recognized
newlinediseases in women. Around 75% of women will be involved with at least one scene of
newlineVVC amid their lifetime. The prevalence rate of VVC in antenatal women is more than
newline40% worldwide and 5-10% antenatal women suffer from recurrent vulvovaginal
newlinecandidiasis (RVVC). During pregnancy, VVC has been associated with complications such
newlineas low birth weight of babies, miscarriage, preterm birth and premature rupture of the
newlinemembrane. The etiological agents of VVC are Candida albicans and non-albicans
newlineCandida (NAC). Among NAC, C. glabrata is the second most common Candida species
newlineisolates from VVC. Other species are C. tropicalis, C. krusei, C. parapsilosis, C. kefyr, C.
newlinerugosa, C. dubliniensis and C. guiliermondi. There is increased scientific and
newlineepidemiological interest on NAC species as their prevalence is at increasing trend all
newlinearound the world. In complicated VVC, NAC species are commonly found than C.
newlinealbicans
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