Trichomonas vaginalis: Difference between revisions
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==Background== | ==Background== | ||
*Considered an STI | *Considered an STI | ||
* | *Associated with preterm birth, [[PID]], cervical cancer, increased transmission of other [[STIs]] | ||
== | ==Clinical Features== | ||
*Yellow, malordorous discharge | *Yellow, malordorous discharge | ||
*Vaginal erythema or edema | *Vaginal erythema or edema | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Vulvovaginitis DDX}} | {{Vulvovaginitis DDX}} | ||
==Diagnosis== | |||
*Wet mount shows mobile trichomonads | |||
==Treatment== | ==Treatment== | ||
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*[[Vulvovaginitis]] | *[[Vulvovaginitis]] | ||
== | ==References== | ||
[[Category:OB/GYN]] | [[Category:OB/GYN]] | ||
[[Category:ID]] | [[Category:ID]] | ||
Revision as of 19:00, 5 June 2015
Background
- Considered an STI
- Associated with preterm birth, PID, cervical cancer, increased transmission of other STIs
Clinical Features
- Yellow, malordorous discharge
- Vaginal erythema or edema
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
Diagnosis
- Wet mount shows mobile trichomonads
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