A 42 year old woman presents with a vaginal discharge for 4 weeks associated with pruritus and external dysuria. She also complains of superficial dyspareunia of recent onset. She was diagnosed with type 2 diabetes mellitus 2 years ago and is currently on maximum doses of oral metformin and glipizide. A HbA1c performed last week is 10.4%, while her postprandial plasma glucose is 320 mg/dl after 2h.
The 10% KOH smear of the discharge shows multiple pseudohyphae and blastospores. There is no amine odor.
Cultures are positive for Candida albicans.
Cultures are negative for Trichomonas.
Negative for Chlamydia Negative for Gonorrhea