[Efficacy of voriconazole treatment in chronic vulvovaginal candidosis due to Candida glabrata].

BACKGROUND

Vulvovaginal candidosis is a common infection in young women, and it is associated with high morbidity and high health costs.

AIMS: Vulvovaginal candidosis caused by Candida glabrata is a therapeutic challenge due to the acquired resistance of many strains of this species to azole antifungals.

METHODS

We present two cases of vaginal candidosis complicated by fluconazole-resistant Candida glabrata, and treated with voriconazole.

RESULTS

Both patients improved after administration of voriconazole, 400 mg/12 h the first day and then 200 mg every 12 h for 14 days. Their symptoms disappeared and cultures became negative.

CONCLUSIONS

These results suggest voriconazole can be used as a therapeutic alternative for this type of candidosis which, although not life threatening, is associated with a high morbidity.