{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:27:09Z","timestamp":1787758029983,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      Abnormal vaginal discharge is common among the females of the reproductive age group. Vulvovaginitis caused by azole-resistant\n                      <jats:italic toggle=\"yes\">Candida albicans<\/jats:italic>\n                      is rare. Recurrent vulvovaginal candidiasis (RVVC) causes significant patient distress and morbidity. The vaginal microflora is a complex micro-ecological environment comprising different microbiological species in variable quantities and relative proportions. Any disturbance in the aforesaid causes vaginitis, for instance, aerobic vaginitis (AV) results from the displacement of healthy vaginal Lactobacillus species with aerobic pathogens. We report AV with RVVC caused by\n                      <jats:italic toggle=\"yes\">C. albicans<\/jats:italic>\n                      resistant to even second generation azoles which has not been previously reported to the best of our knowledge.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijstd.ijstd_77_17","type":"journal-article","created":{"date-parts":[[2022,6,6]],"date-time":"2022-06-06T06:17:59Z","timestamp":1654496279000},"page":"77-79","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["An unusual case of recurrent vaginal discharge"],"prefix":"10.4103","volume":"43","author":[{"given":"Meenu","family":"Malik","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taru","family":"Garg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ram","family":"Chander","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-19-20240831","doi-asserted-by":"crossref","first-page":"28","DOI":"10.4103\/0974-2727.129087","article-title":"Changing trends of vulvovaginal candidiasis","volume":"6","author":"Vijaya","year":"2014","journal-title":"J Lab Physicians"},{"key":"R2-19-20240831","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1080\/02681219680000571","article-title":"Role of antifungal drug resistance in the pathogenesis of recurrent vulvovaginal candidiasis","volume":"34","author":"Lynch","year":"1996","journal-title":"J Med Vet Mycol"},{"key":"R3-19-20240831","first-page":"726","article-title":"Symptomatic vulvovaginitis due to fluconazole-resistant Candida albicans in a female who was not infected with human immunodeficiency virus","volume":"22","author":"Sobel","year":"1996","journal-title":"J Infect Dis"},{"key":"R4-19-20240831","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1007\/s00404-012-2571-4","article-title":"Aerobic vaginitis and mixed infections: Comparison of clinical and laboratory findings","volume":"287","author":"Fan","year":"2013","journal-title":"Arch Gynecol Obstet"},{"key":"R5-19-20240831","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1111\/j.1471-0528.2002.00432.x","article-title":"Definition of a type of abnormal vaginal flora that is distinct from bacterial vaginosis: Aerobic vaginitis","volume":"109","author":"Donders","year":"2002","journal-title":"BJOG"},{"key":"R6-19-20240831","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1007\/s11908-015-0477-6","article-title":"Selecting anti-microbial treatment of aerobic vaginitis","volume":"17","author":"Donders","year":"2015","journal-title":"Curr Infect Dis Rep"},{"key":"R7-19-20240831","first-page":"2268","article-title":"A study of aerobic bacterial pathogens associated with vaginitis in reproductive age group women (15-45 years) and their sensitivity pattern","volume":"3","author":"Sangeetha","year":"2015","journal-title":"Int J Res Med Sci"},{"key":"R8-19-20240831","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.ics.2005.02.064","article-title":"Aerobic vaginitis: Abnormal vaginal flora entity that is distinct from bacterial vaginosis","volume":"1279","author":"Donders","year":"2005","journal-title":"Int Congress Series"}],"container-title":["Indian Journal of Sexually Transmitted Diseases and AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijstd.IJSTD_77_17","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:59:50Z","timestamp":1787756390000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijstd.IJSTD_77_17"}},"subtitle":["Diagnostic and therapeutic dilemma"],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ijstd.ijstd_77_17","relation":{},"ISSN":["2589-0557"],"issn-type":[{"value":"2589-0557","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}