Trichomonas vaginalis
Revision as of 19:00, 5 June 2015 by Rossdonaldson1 (talk | contribs)
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