Thursday, March 1, 2012
A 25 year old woman with diabetes and recurrent UTIs presents with dysuria. Initially, she thinks this is her usual UTI, but then she starts having vulvar pruritis, soreness, irritation, and dyspareunia. There is no discharge. She decided to go see her regular doctor (that's you!). Her medications are nitrofurantoin and an oral contraceptive. Examination shows vulvar erythema and edema. There is some thick, adherent, cottage-cheese-like discharge. The vaginal pH is 4. You make your diagnosis.
Challenge: What is it?
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