A 29-year-old woman presents with intense vulvar pruritus and thick white vaginal discharge following a 2-week course of amoxicillin-clavulanate for sinusitis. Vital signs are normal. Vaginal pH is 4.2. Microscopy demonstrates budding yeast with pseudohyphae. Gram stain shows no bacterial flora. She denies fever, abdominal pain, or recent sexual contact. Which organism is most likely responsible for this infection?
- A)Candida albicansGABARITO
- B)Neisseria gonorrhoeae
- C)Trichomonas vaginalis
- D)Gardnerella vaginalis
- E)Chlamydia trachomatis
Explicação
Candida albicans is correct. Antibiotic use predisposes to vulvovaginal candidiasis, which presents with pruritus, normal vaginal pH, and thick white discharge. Microscopy showing budding yeast with pseudohyphae is characteristic. Ver explicação completa e trilha adaptativa →