A patient develops itching and burning of the vaginal vault while taking an anti-infective to treat strep throat. What fungal agent has most likely caused the burning and itching?
A) Cryptococcus neoformans
B) Candida albicans
C) Aspergillus
D) Dermatophytes
B
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Growth of Candida organisms is normally restrained by intact immune mechanisms and bacterial competition of nutrients. When these restraining forces are altered (antibacterial drug therapy), fungal overgrowth and opportunistic infection can occur. Cryptococcus neoformans organisms evade normal immune defense of phagocytosis. Aspergillus organisms produce protease. Dermatophytes grow on cool body surfaces.
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