Candidiasis diabetes mellitus

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candidiasis in diabetes mellitusFeatures of all metabolic processes in a patient with diabetes mellitus require a strictly individual approach to the treatment of infectious and non-infectious disease in such patients. A common feature of the different States in diabetes is hyperglycemia, which occurs due to violation of the ability of the pancreas to produce the required amount of insulin, it could change the sensitivity of tissues to insulin, or a combination of these factors.

In this regard, diabetes is quite often complicated by the accession of a variety of infections, each of them has its own peculiarities. These patients are very common fungal infections. This is because hyperkalemia fungi begin to actively use glucose for metabolic processes and actively proliferate, causing disease. In most cases the causative agent are yeast-like fungi Candida.

the Clinical form of candidiasis of the urinary tract in patients with diabetes occur from asymptomatic and candiduria including candidal urethritis, cystitis, pyelonephritis, prostatitis, epididymitis, balanoposthitis, and they manifest themselves in different dysuria, pain in lower back and in the bladder, a symptom of Pasternatskogo, irritation of the penis, a burning sensation in the urethra, urinary incontinence, etc.

the following is candidal vulvovaginitis and oropharyngeal candidiasis. Fungal infections of the respiratory tract and the throat are manifested by specific symptoms: the coughing, the congestion, "irritation" of the mucous, etc. Vulvovaginitis occurs in women as in young in menopause and appears specific cheesy discharge, burning and itching in the genital tract. Often irritation of the anus and the external genitalia.

Candida pneumonia and bronchitis quite often complicate the course of diabetes. They acquire, usually chronic relapsing course, difficult to cure and is characterized by shortness of breath, productive cough, chest pain, changes on radiographs and other symptoms.

Candida sinusitis, esophagitis, sore throat seldom. Candida peritonitis, sepsis, meningitis and osteomyelitis in diabetes mellitus insufficiently described in the literature, however please be aware of such complications in patients with diabetes, especially in intensive care units.

Treatment: the diet, the use of glucose-lowering drugs, the treatment of all accompanying diseases, intake of tonic medicines, physiotherapy, and carrying out etiotropic antifungal therapy.