{"id":141,"date":"2025-08-01T22:04:14","date_gmt":"2025-08-01T22:04:14","guid":{"rendered":"https:\/\/dermacab.net\/?page_id=141"},"modified":"2025-08-02T21:10:23","modified_gmt":"2025-08-02T21:10:23","slug":"candida-albicans-candidose-vulvo-vaginale-et-balanite-candidosique","status":"publish","type":"page","link":"https:\/\/dermacab.net\/index.php\/prise-en-charge-des-infections-sexuellement-transmissibles-ist\/ist-fongiques-ou-a-agents-opportunistes\/candida-albicans-candidose-vulvo-vaginale-et-balanite-candidosique\/","title":{"rendered":"\ud83c\udf44 Candida albicans \u2013 Candidose vulvo-vaginale et balanite candidosique"},"content":{"rendered":"\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Mycose g\u00e9nitale fr\u00e9quente, parfois sexuellement transmissible<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udccc <strong>Qu\u2019est-ce que Candida albicans ?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Candida albicans<\/em> est une <strong>levure commensale<\/strong> de la flore digestive, buccale et g\u00e9nitale. Dans certaines conditions (d\u00e9s\u00e9quilibre de la flore, baisse de l\u2019immunit\u00e9, antibioth\u00e9rapie\u2026), elle devient <strong>pathog\u00e8ne<\/strong> et provoque des <strong>infections locales ou syst\u00e9miques<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La <strong>candidose g\u00e9nitale<\/strong> concerne principalement :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>La femme (vaginite ou vulvo-vaginite)<\/li>\n\n\n\n<li>L\u2019homme (balanite candidosique)<\/li>\n<\/ul>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">Bien que ce ne soit pas une IST stricte, la candidose peut \u00eatre <strong>transmise lors des rapports sexuels<\/strong>, en particulier en cas de r\u00e9cidives.<\/p>\n<\/blockquote>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udd2c <strong>Facteurs favorisants<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Antibioth\u00e9rapie prolong\u00e9e<\/li>\n\n\n\n<li>Contraceptifs hormonaux<\/li>\n\n\n\n<li>Diab\u00e8te mal contr\u00f4l\u00e9<\/li>\n\n\n\n<li>Grossesse<\/li>\n\n\n\n<li>V\u00eatements serr\u00e9s, sous-v\u00eatements synth\u00e9tiques<\/li>\n\n\n\n<li>Immunod\u00e9pression (VIH, corticoth\u00e9rapie)<\/li>\n\n\n\n<li>Mauvaise hygi\u00e8ne ou exc\u00e8s de toilette intime<\/li>\n\n\n\n<li>Rapports sexuels non prot\u00e9g\u00e9s<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\u26a0\ufe0f <strong>Tableau clinique<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">Chez la femme \u2013 vulvo-vaginite candidosique :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Leucorrh\u00e9es \u00e9paisses blanches<\/strong>, \u00ab en lait caill\u00e9 \u00bb, sans odeur<\/li>\n\n\n\n<li><strong>Prurit vulvaire intense<\/strong>, sensation de br\u00fblure<\/li>\n\n\n\n<li>Dyspareunie, \u00e9ryth\u00e8me vulvaire<\/li>\n\n\n\n<li>Vulve rouge, \u0153d\u00e9mati\u00e9e, fissur\u00e9e<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Chez l\u2019homme \u2013 balanite candidosique :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c9ryth\u00e8me du gland et du pr\u00e9puce<\/li>\n\n\n\n<li>Petites \u00e9rosions, prurit ou br\u00fblure locale<\/li>\n\n\n\n<li>D\u00e9p\u00f4t blanch\u00e2tre possible sous le pr\u00e9puce<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddea <strong>Diagnostic<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Clinique<\/strong> dans la majorit\u00e9 des cas<\/li>\n\n\n\n<li>Pr\u00e9l\u00e8vement vaginal ou balanique pour examen direct + culture si doute ou r\u00e9cidive<\/li>\n\n\n\n<li>Recherche d\u2019autres causes de prurit vulvaire ou balanite (trichomonase, herp\u00e8s, ecz\u00e9ma\u2026)<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udc8a <strong>Traitement<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">Femme :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ovules antifongiques <\/li>\n\n\n\n<li>Cr\u00e8me antifongique locale + soins hygi\u00e9niques<\/li>\n\n\n\n<li>En cas de r\u00e9cidive : per os (en cure ou prophylaxie mensuelle)<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Homme :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cr\u00e8me antifongique locale (\u00e9conazole ou miconazole) 2x\/j pendant 1 semaine<\/li>\n\n\n\n<li>Fluconazole 150 mg dose unique si \u00e9chec local<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u2705 <strong>Traitement du ou des partenaires recommand\u00e9<\/strong> si formes r\u00e9cidivantes ou sympt\u00f4mes bilat\u00e9raux<br>\ud83d\udeab \u00c9viter rapports sexuels pendant traitement<br>\ud83d\udca1 R\u00e9\u00e9quilibrage de la flore vaginale si besoin (probiotiques)<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udee1\ufe0f <strong>Pr\u00e9vention<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Port de sous-v\u00eatements en coton<\/li>\n\n\n\n<li>\u00c9viter les toilettes vaginales agressives<\/li>\n\n\n\n<li>Pr\u00e9servatif en cas de partenaire symptomatique<\/li>\n\n\n\n<li>Traitement pr\u00e9ventif avant antibioth\u00e9rapie si r\u00e9cidive connue<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83e\uddd1\ud83c\udffd\u200d\u2695\ufe0f <strong>Au cabinet du Dr Hadi HAKIM<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Diagnostic rapide et pr\u00e9cis<\/li>\n\n\n\n<li>Traitement local ou syst\u00e9mique adapt\u00e9<\/li>\n\n\n\n<li>Conseils hygi\u00e9no-di\u00e9t\u00e9tiques personnalis\u00e9s<\/li>\n\n\n\n<li>Accompagnement en cas de candidose r\u00e9cidivante ou r\u00e9sistante<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">\ud83d\udcde <strong>Consultation pour mycose g\u00e9nitale \u2013 Discr\u00e8te et efficace<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udcde <strong>+221 33 821 31 22<\/strong><br>\ud83d\udcac <strong>WhatsApp m\u00e9dical s\u00e9curis\u00e9<\/strong><br>\ud83d\udccd <em>Cabinet de Dermatologie &amp; IST \u2013 Dakar<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mycose g\u00e9nitale fr\u00e9quente, parfois sexuellement transmissible \ud83d\udccc Qu\u2019est-ce que Candida albicans ? Candida albicans est une levure commensale de la flore digestive, buccale et g\u00e9nitale. Dans certaines conditions (d\u00e9s\u00e9quilibre de la flore, baisse de l\u2019immunit\u00e9, antibioth\u00e9rapie\u2026), elle devient pathog\u00e8ne et provoque des infections locales ou syst\u00e9miques. La candidose g\u00e9nitale concerne principalement : Bien que ce [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":220,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-141","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/141","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/comments?post=141"}],"version-history":[{"count":1,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/141\/revisions"}],"predecessor-version":[{"id":142,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/141\/revisions\/142"}],"up":[{"embeddable":true,"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/pages\/220"}],"wp:attachment":[{"href":"https:\/\/dermacab.net\/index.php\/wp-json\/wp\/v2\/media?parent=141"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}