BLUE LIGTH EMITTING DIODE IN TREATMENT OF RECURRING VULVOVAGINAL CANDIDIASIS: A CASE REPORT

Mariana Robatto, M. Pavie, Sibele Tozetto, M. Brito, P. Lordêlo
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引用次数: 4

Abstract

Introduction : Recurring vulvovaginal candidiasis (RVVC) is an infectious disease of the lower genitourinary tract, that occurs at least 4 times per year. Drug treatment can last months and favor the appearance of adverse effects and increase the chances of recurrence. Blue Light Diode (LED) is an electromagnetic spectrum light, with antimicrobial functions. Case Report : A case report was made of a patient with RVVC whose treatment consisted of three sessions of 60-minutes each, of application of blue LED in intervals of 15 days. Evaluation was carried out before, at the end of third application and three months after the last session by means of fungal culture, cervical cytology; analysis of patient´s clinical condition; and measurement of vaginal pH. After the third session, there was a reduction in fungal load and vaginal pH; absence of symptoms (pruritus, burning and dyspareunia) and vulvovaginal edema, but there were no alterations in the cytology and microflora, which remained with inflammatory markers. Three months after the end of the treatment, there was no Candida in vaginal secretion, neither signs nor symptoms of candidiasis, and vaginal pH was normal. As for cytology and microflora, cellular alterations associated with cytolysis and presence of lactobacilli was observed. Conclusion : The blue LED 401 nm may be a promising alternative to treat RVVC by eliminating signs and symptoms in women.
蓝色发光二极管治疗复发性外阴阴道念珠菌病1例
简介:复发性外阴阴道念珠菌病(RVVC)是一种下生殖道的感染性疾病,每年至少发生4次。药物治疗可能持续数月,有利于不良反应的出现,并增加复发的机会。蓝光二极管(LED)是一种电磁波谱灯,具有抗菌功能。病例报告:报告了一例RVVC患者,其治疗包括三个疗程,每次60分钟,间隔15天应用蓝色LED。通过真菌培养、宫颈细胞学进行评估,在第三次应用前、结束时和最后一次应用后三个月进行评估;患者临床情况分析;第三次疗程后,真菌负荷和阴道pH值均有所下降;没有症状(瘙痒、灼烧和性交困难)和外阴阴道水肿,但细胞学和微生物群没有改变,炎症标志物仍然存在。治疗结束3个月后,阴道分泌物中未见念珠菌,无念珠菌病的体征和症状,阴道pH值正常。在细胞学和微生物区系方面,观察到与细胞溶解和乳酸菌存在相关的细胞改变。结论:401nm蓝光LED可能是一种有希望的治疗RVVC的替代方法,可以消除妇女的体征和症状。
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