[Aspects of the children's candidiasis in outpatient practice]. / Aspecte ale candidozelor la copil în practica de ambulator.

Candidiasis are conditions caused by fungi from Candida genus. The most frequently involved in humans pathology is Candida albicans, which, even if is in balance with endogenous bacterial flora, became pathogenic in certain conditions. The hereby study aims to evaluate retrospectively on a period of 5 years (1999-2003), an group of 101,000 children aged 14 days-18 years, the prevalence of candidiasis, the clinical aspects determined in pediatric population diagnosed and treated in the paediatric offices of the outpatient clinic of "Sf. Spiridon" Hospital, as well as the risk factors of these diseases. From 3806 positive samples for Candida, 2650 (69%) have presented signs of pathogenicity of a significant intensity of colonization. 65% of samples have been observed in female gender, 35% in male gender, 58% of cases from urban areas, 42% from rural environment. The concordance of the lab results having significant values with the manifest clinical symptoms was 85% for the nasal and pharyngeal exudates; 93% for the examination of the stools and 95% for vaginal secretions. The most frequent clinical aspects were oropharyngeal candidiasis (39%), mycotic esopharyngitis (0.4%), enterocolitis (15%), mycotic colitis (22%), vulvovaginitis (25%). The most frequent risk factors for the appearance of candidiasis have been repeated or prolonged antibiotic treatments (90% of cases), diabetes mellitus (0.3% cases), steroid therapy (0.2% cases), deficient hygiene (5% cases), diet rich in carbohydrates (9%). This study confirm that Candida albicans can become pathogenic producing signs and symptoms of disease in certain conditions, the most important factor being prolonged or repeated antibiotic treatment.

[Recurrent abdominal pain and genital diseases in young girls]. / Relatia dintre durerile abdominale recurente si afectiunile genitale la fete--studiu clinic.

Recurrent abdominal pain represents one of the most frequent syndrome met in pediatrics pathology at all ages, sometimes raising difficulties in establishing the diagnosis. One of the most frequent causes of recurrent abdominal pain is the genital disease at young girls. A retrospective study realized on a 10,000 girls lot, consulted in pediatrics offices from St. Spiridon Hospital of Iasi, between 1999-2001, emphasized the presence of recurrent abdominal pain and genital pathology at 300 young girls, that is 25% of the cases with genital diseases and 12% of the cases recurrent abdominal pain. Genital pathology means represented by: dysmenorrhea in 36% of cases, pelvic inflammatory disease in 26.67% of cases, functional ovarian cyst in 6% of cases, ovarian tumors in 0.33% of cases, ectopic pregnancy in 0.33% of cases, vulvovaginitis in 27.67% of cases. The most affected age was 13-16. The study of those diseases related to a genital pain diagnosed as responsible, ethiologically, for the recurrent painful abdomen, confirmed the existence of a very tight correlation between the genital pathology and the general one.