Consuming an All-Meat Ketogenic Diet for the Long-Term Management of Candida Vulvovaginitis and Vaginal Hidradenitis Suppurativa: A 47-Month Follow-Up Case Report

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URL: https://www.cureus.com/articles/119195-consuming-an-all-meat-ketogenic-diet-for-the-long-term-management-of-candida-vulvovaginitis-and-vaginal-hidradenitis-suppurativa-a-47-month-follow-up-case-report
Journal: Cureus
Publication Date: 10/2022
Summary: This case report describes long-term therapeutic management in a 33-year-old diagnosed with Candida vulvovaginitis and vulvar hidradenitis suppurativa 47 months previously. Candida spp. yeasts are part of many women’s normal vaginal microflora, and the development of vulvovaginal candidiasis is typically a result of a disturbance in the patient’s microbial ecosystem, which manifests itself by intense pruritus, erythema, swelling, and thick white vaginal discharge. Hidradenitis suppurativa is a chronic auto-inflammatory skin condition that causes painful weeping lesions in areas of dense apocrine glands. Although certain mechanisms underlying the pathogenesis of Hidradenitis Suppurativa (e.g., risk factors include smoking, obesity, and family history) have been investigated, a definitive explanation remains elusive.

Nutritional intervention in the form of an all-meat ketogenic diet may be considered therapy in the management of both diseases, as successfully seen in this case report. The patient refused standard of care with oral fluconazole for Candida vulvovaginitis and surgical removal for Hidradenitis suppurativa, and instead consumed a zero-carbohydrate all-meat ketogenic diet mostly of beef with strict adherence to the diet for 43 days in which symptoms ceased.

Key Takeaways

Hidradenitis Suppurativa is a skin infection that occurs in areas of the body with skin folds/creases such as the armpit, groin, vulva, etc where the skin becomes red, painful, and drains pus. This patient had hidradenitis suppurativa and a yeast infection in her vulva and vaginal region. She refused antibiotics, and instead did a carnivore diet. After 43 days of the carnivore diet, her symptoms were gone and the infections cleared.

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