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Obstetric and Gynecological Nursing - The Carter Center

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Clinical features<br />

Abscesses of the bartholin gl<strong>and</strong> duct usually presented with<br />

unilateral swelling of the labia <strong>and</strong> acute pain. <strong>The</strong> mass is<br />

usually tender, red, <strong>and</strong> warm to the touch <strong>and</strong> may be<br />

accompanied by localized edema in the area(s). It is<br />

extremely painful <strong>and</strong> usually makes intercourse impossible. It<br />

becomes fluctant <strong>and</strong> warm with thinning of the overlying skin.<br />

12.3 C<strong>and</strong>idiasis<br />

C<strong>and</strong>idiasis is the most common fungal infection caused by<br />

c<strong>and</strong>idia albicans <strong>and</strong> which accounts for the vast majority of<br />

fungal vulvo vaginal infections. C<strong>and</strong>ida is a common<br />

inhabitant of the mouth, large intestine <strong>and</strong> vagina in 25-50%<br />

of healthy individuals. <strong>The</strong> particular environmental <strong>and</strong><br />

biological factors that given rise to clinical infection by c<strong>and</strong>ida<br />

albicans are not understood, but some women may be more<br />

susceptible; predispostion to infection is associated with<br />

diabetes, pregnancy <strong>and</strong> the administration of antibiotics,<br />

particularly those like penicillin, that are effective against<br />

vaginal lactobacilli.<br />

<strong>The</strong> rise of sexual transmission in c<strong>and</strong>ida infection is not<br />

clear; although the organism is often shared by sexual<br />

partners. Tight clothes <strong>and</strong> mid skill abrasions may contribute<br />

to clinical presentation of infection.<br />

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