"Leucorrhoea persists, Patient wants to go home. Discharge despite medical advice"

Mucocutaneous disorder caused by Candida, a species of fungus normally found in mouth, vagina, and faces of normal people.

In immuno-competent individuals the disease runs a begin course and carried an excellent prognosis but the immuno-compromised, can cause much morbidity and can contribute to mortality.

Cotton underwear to improve perineal ventilation.

Regular inspection of possible sites for candidal over growth in sick patients on prolonged antibiotic therapy.

Remove catheter, of catheter related.

Immuno-compromised to be informed of possibility of candidiasis when on prolonged antibiotic therapy.

Inspection of mouth, vagina for detection of infection in immuno-compromised.

Shift from surface drugs to oral antifungals, and amphotericin B as last resort.

Terconazole may be tried for Imidazole resistant cases of vaginal candidasis (0.4% cream Intravaginal application at night for 7 days, or suppository at bed time for 3 days.

Antibiotics can potentiate candidal infection, and as a general rule have to be used for definitive indication and particularly so in the bed ridded.

Candida overgrowth more like on use of specmicides, caginal douches etc. as they change the vaginal pH cotton underwear may deter growth of candida.

Live lactobacillus given orally, considered helpful, but unproven.

www.cda-adc.ca/jcda/vol-65/issue-1/33.pdf