Estrogens in coastal waters. The sewage source.

Gynecologic case report 117 The vast majority of vaginal fungal infections are caused by Candida species, especially Candida albicans1,2. Recently, attention has focused on an unconfirmed increase in vaginal infections caused by C. glabrata3. Most microbiological investigations of large numbers of women with fungal vaginitis have reported infrequent symptomatic vaginitis caused by unusual species of Candida including C. tropicalis, C. parapsilosis, and C. krusei1,3. Rarely, vaginitis caused by Saccharomyces cerevisiae has been reported4. Although the Zygomycetes class of microorganisms are recognized as major pathogens in immunocompromised hosts, no mention in the literature has been made of vaginitis caused by these opportunistic pathogens5.