{"ops":[{"insert":"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.\n \nShe 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.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-G-035_en.png"}},{"insert":"\n"}]}
2
Investigate
10% KOH smear
{"ops":[{"insert":"The 10% KOH smear of the discharge shows multiple pseudohyphae and blastospores. There is no amine odor.\n"}]}
Culture for Candida spp
{"ops":[{"insert":"Cultures are positive for Candida albicans.\n"}]}