Candidiasis a common vulvovaginitis Taking a thorough history is critical.
Smears help make the diagnosis.
The onus, therefore, is on the pediatrician to handle the history and clinical examination with care and consideration. George D. Comerci, MD, discussed some of the more common and unusual presentations of vulvovaginitis here at the Fifth Annual Masters of Pediatrics meeting. The vaginal pH is 4.5 or lower, and effective treatment includes miconazole or clotrimazole. In young non-sexually active girls, it is important, however, to rule out diabetes mellitus. Trichomoniasis is a common parasitic infection, with a high incidence in the sexually active adolescent population.