Trichomonas vaginalis: Difference between revisions
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==Treatment== | ==Treatment== | ||
*Treat sexual partners | *Treat sexual partners | ||
*Metronidazole 2gm PO in single dose | *[[Metronidazole]] 2gm PO in single dose | ||
*If pregnant d/w OB prior to TX, Flagyl associated with preterm labor | *If pregnant d/w OB prior to TX, Flagyl associated with preterm labor | ||
**Metronidazole 500mg PO BID X 7d | **[[Metronidazole]] 500mg PO BID X 7d | ||
==See Also== | ==See Also== | ||
Revision as of 14:37, 5 June 2015
Background
- Considered an STI
- A/w preterm birth, PID, cervical cancer, increased transmission of other STIs
Diagnosis
- Yellow, malordorous discharge
- Vaginal erythema or edema
- Wet mount shows mobile trichomonads
Differential Diagnosis
Vulvovaginitis
- Bacterial vaginosis
- Candida vaginitis
- Trichomonas vaginalis
- Contact vulvovaginitis
- Bubble baths and soaps
- Deodorants, powders, and douches
- Clothing
- Atrophic vaginitis due to lack of estrogen (AKA Vulvovaginal atrophy)
- Lichen sclerosus
- Tinea cruris
- Chlamydia/Gonorrhea infection
- Pinworms
- Vaginal foreign body
- Toilet paper
- Other
- Genitourinary syndrome of menopause
- Foreign body
- Allergic reaction
- Normal physiologic discharge
Treatment
- Treat sexual partners
- Metronidazole 2gm PO in single dose
- If pregnant d/w OB prior to TX, Flagyl associated with preterm labor
- Metronidazole 500mg PO BID X 7d
See Also
Source
Tintinalli