😲 Combination of phimosis and candida glabrata скачать в хорошем качестве

😲 Combination of phimosis and candida glabrata

Hello dear patients. Today we are going to review the case of combination of phimosis and candida glabrata in a man of 57 years old. He had been to our clinic before, earlier he had bacterial balanoposthitis. This all was secondary to phimosis, you can watch a separate video about what phimosis is on our channel. Glans penis was not opening well or it didn’t open at all and this induced tenderness. Due to the fact that glans penis was not opening well, the complete hygiene was not kept and glans penis discharges sebum and there are Tyson’s glands as well, which are an analogue of sebaceous glands and they still work constantly. If regular hygiene is not kept, which is impossible during phimosis, then such potentially pathogenic fungi as candida, in this case it’s candida glabrata, can induce significant inflammation. This man came with pains in the area of glans penis, even though seemingly, by the photo you cannot see any supernatural reddenings. There were quite marked layers of white deposit, culture test for candida and for bacteria was taken. PCR analysis for 8 candidae was taken. It has to be said that earlier he did analyses for candida at his dermatologist and it was negative. The reason is that often, analyses are taken for candida albicans only. Almost yesterday a young man came from Nizhniy Novgorod to do analyses for candida as in many places a full-scale analysis for candidosis is not taken as they think that only candida albicans exist. However, today, according to my observations, a percent of not candida albicans has grown to at least 50 percent. So, in half of the cases, the laboratories, regardless of how much they want it, cannot find candidosis even though it’s clearly present. Moreover, if it’s treated by a rule of thumb by these healers-dermatologists to whom the patients often come, then they often prescribe only one tablet of flucostat. When we did culture test for this particular patient, we found out that he almost doesn’t have a full-scale sensitivity neither to flucostat nor to other medications, there's only a moderate resistance. Therefore, classic courses of treatment that are written by classic pill-preferring doctors or doctors-painters in their manuals, do not work here as atypical candidae are quite resistant, they are not treated well. In this case, a combination of at least two medications is necessary – injection medications, external medications, tablet medications, baths, compresses etc. Only this, together with mechanical removal, external and internal anti-candida treatment, can give an effect when there are resistant candidosis not due to candida albicans. This was done in this case, intravenous diflucan was prescribed, external and internal medications were prescribed and only this gave a positive effect. It has to be said, that approximately a week before coming to us, his wife had the same fluconazole, diflucan is its trade name and she gave him diflucan capsules. However, this didn’t lead to healing as this shouldn’t lead to it during atypical canidosis that at the present time are more and more commonly invade glans penis. The combination with phimosis that is observed in this patient, leads to quite a strong inflammatory reaction and to quite intense pain, itch, burning that were observed in such case. As I already told you, he was treated in a complex way and control analyses were taken in 3 weeks time from glans penis. If it is necessary to diagnose and treat any changes in the area of glans penis and sexual organs, you can consult venerologists of our paid medical center of dermatovenerologic dispensary in Moscow. We have experienced specialists who do diagnostics and treatment of such problems. We are waiting for you in our clinic, please subscribe to our channels on youtube and instagram. Thank you for your attention. ⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️ DVD dermato-venerologic dispensary is a specialized institution that provides medical care on dermatology, venerology, urology, gynecology and other specialties.