Candidiasis of vulva and vagina
ICD-10 B38.3 is a billable code used to indicate a diagnosis of candidiasis of vulva and vagina.
Candidiasis of the vulva and vagina, commonly known as a yeast infection, is a fungal infection caused primarily by the overgrowth of Candida species, particularly Candida albicans. This condition is characterized by symptoms such as itching, burning, and abnormal vaginal discharge, which may appear thick and white, resembling cottage cheese. The infection can occur in women of all ages but is more prevalent in those who are pregnant, diabetic, or immunocompromised. Factors contributing to the development of candidiasis include antibiotic use, hormonal changes, and a weakened immune system. Diagnosis is typically made based on clinical symptoms and confirmed through laboratory tests, including wet mount microscopy or culture. Treatment usually involves antifungal medications, which can be administered topically or orally, depending on the severity and recurrence of the infection. In immunocompromised patients, such as those with HIV/AIDS or undergoing chemotherapy, candidiasis can be more severe and may require more aggressive treatment and monitoring.
Detailed patient history, including previous infections and treatments, and current symptoms.
Patients presenting with recurrent yeast infections, pregnant patients with candidiasis, and patients with comorbidities.
Consideration of pregnancy-related changes and potential complications.
Comprehensive documentation of immunocompromised status and treatment history.
Patients with HIV/AIDS or those undergoing immunosuppressive therapy presenting with candidiasis.
Monitoring for systemic candidiasis in severely immunocompromised patients.
Used when a culture is taken to confirm candidiasis.
Document the site of culture and the reason for testing.
Obstetrics and Gynecology may frequently order this test for symptomatic patients.
Common treatments include topical antifungal creams such as clotrimazole or miconazole, and oral antifungal medications like fluconazole. The choice of treatment may depend on the severity and frequency of infections.
