We studied the accuracy of the traditional wet-mount technique as compared with detection using direct immunofluorescence and culture techniques in ED patients with the presenting complaint of vaginal discharge. [ncbi.nlm.nih.gov]

Her last course of metronidazole was 1 month before her presentation. There was no history of other sexually transmitted diseases. Her husband was experiencing dysuria at the time she presented to our clinic. [sti.bmj.com]

A 27-year-old woman presents with a vaginal itching, odor, and discharge for 1 week. She has one partner who is asymptomatic. Speculum examination shows a strawberry cervix seen with Trichomonas infections ( Figure 84-1 ). [accessmedicine.mhmedical.com]

• Turkish

  A Turkish study investigated the efficacy of vaginal pessaries containing metronidazole 500 mg and miconazole nitrate 100 mg, for the treatment of candidiasis, bacterial vaginosis and trichomoniasis and in mixed vaginal infections ( 38 ). [antimicrobe.org]

• Hematochezia

  Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia Bridging the Gap Challenge Yourself [nejm.org]

• Tachycardia

  T he major toxicity of metronidazole is its disulfuram-like effect, consisting of tachycardia, flushing, nausea and vomiting, when taken with ethanol. As well, metronidazole and disulfuram taken together may induce an acute psychosis. [antimicrobe.org]

• Urticaria

  Adverse reactions that may occur include anaphylaxis, skin rashes, pustular eruptions, pruritis, flushing, urticaria and fever [29]. [pharmaceutical-journal.com]

  The most common reactions were urticaria (47%) and facial edema (11%), based on patient history. [academic.oup.com]

  The most common reactions reported from metronidazole are urticaria and facial edema, while other adverse reactions include flushing, fever and anaphylactic shock from immediate-type hypersensitivity have been reported. [bmcinfectdis.biomedcentral.com]

• Vaginal Discharge

  We studied the accuracy of the traditional wet-mount technique as compared with detection using direct immunofluorescence and culture techniques in ED patients with the presenting complaint of vaginal discharge. [ncbi.nlm.nih.gov]

  The most common symptoms are an unusual vaginal discharge, vaginal itch and pain during sexual intercourse. Antibiotics are needed to treat the infection. Sexual partners should also be treated. [ada.com]

  She remained entirely symptom free until July 2000, when she presented to her primary care provider with vaginal discharge. [sti.bmj.com]

  Symptoms include inflammation of the cervix, urethra and vagina which produce an itching or burning sensation, and yellow-green, itchy, frothy foul-smelling vaginal discharge. [malacards.org]

• Dysuria

  Symptoms include vaginal discharge (which is often diffuse, malodorous, yellow-green), dysuria, itching, vulvar irritation and abdominal pain. [clinicaltrials.gov]

  Her husband was experiencing dysuria at the time she presented to our clinic. There was no information about the other sexual partner. She was taking oral contraceptives, and did not use condoms consistently with either partner. [sti.bmj.com]

  Itching dysuria, and offensive, malodorous, thin, yellowish vaginal discharge were the main and consistent complaints. [ijmm.org]

  Men are usually asymptomatic; however, sometimes urethritis results in a discharge that may be transient, frothy, or purulent or that causes dysuria and frequency, usually early in the morning. [merckmanuals.com]

Trichomoniasis workup. Medscape. Available online at . Accessed February 2017. (2016 November). Advances in laboratory detection of Trichomonas vaginalis (updated). Association of Public Health Laboratories. Available online at . [labtestsonline.it]

Epididymitis Gonococcal Infections Nonbacterial Prostatitis Pelvic Inflammatory Disease Urethritis Vaginitis Other Problems to be Considered : Bacterial vaginosis Atrophic vaginitis with secondary infection Erosive lichen planus Foreign body vaginosis WORKUP [csh.org.tw]

It is important to be careful while diagnosing because the treatment of AV differentiates from treatment of other vaginitis. [ncbi.nlm.nih.gov]

“Centers for Disease Control and Prevention (CDC): Sexually transmitted diseases treatment guidelines, 2010”. MMWR Recomm Rep. vol. 59. 2010. pp. 1 (Updated Guidelines from the CDC which guide treatment for sexually transmitted infections.) [infectiousdiseaseadvisor.com]

What Is The Prognosis? Treatment with metronidazole produces a cure in about 95% of patients. Prevention Important preventive measures include regular use of latex condoms or abstaining from sexual activity. [healthychildren.org]

menopause) Prognosis bacterial vaginosis infection may recur in 30% of women trichomoniasis infection may recur in 5-31% of cases vulvovaginal candidiasis infection may recur in 50% of initially infected women Presentation Vaginitis Vaginitis Etiology [medbullets.com]

Control of T vaginalis may represent an important means of slowing HIV transmission, particularly among African Americans. [37] Prognosis Recommended metronidazole therapy regimens have produced a 90-95% cure rate in randomized clinical trials. [9] The [emedicine.medscape.com]

An estimated 3 to 5 million cases of trichomoniasis occur each year in the United States. 1 The worldwide prevalence of trichomoniasis is estimated to be 180 million cases per year; and these cases account for 10% to 25% of all vaginal infections. 2 Etiology [basicmedicalkey.com]

Although we did not test for other organisms thought to be etiologic agents of NGU, the role and potential contribution to the etiology of the clinical findings, which are termed NGU, remains speculative. [academic.oup.com]

TrichomoniasisTrichomonas vaginalis is the etiologic agent of trichomoniasisMode of infection ; STDreservoir for this species - human genital tractSexually transmitted infection of the urogenital tractVaginitis in women- site of infection –vagina,urethraUrethritis [slideshare.net]

Analogous ramifications have been postulated for T. vaginalis and a viral etiology of much greater prevalence. Persistent human papillomavirus infection factors into the development of cervical neoplasia. [clinchem.aaccjnls.org]

transplant patients and HIV infection) uncontrolled diabetes Etiology the most common infections include bacterial vaginosis Candida vulvovaginitis trichomoniasis Pathobiology normal biology in premenopausal women, the vaginal nonkeratinized stratified [medbullets.com]

Epidemiology An estimated 3 to 5 million cases of trichomoniasis occur each year in the United States. 1 The worldwide prevalence of trichomoniasis is estimated to be 180 million cases per year; and these cases account for 10% to 25% of all vaginal infections [basicmedicalkey.com]

Smith, PhD, MPH, Department of Epidemiology, UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill, McGavran-Greenberg, Chapel Hill, NC 27599. E-mail: [email protected] [journals.lww.com]

Annals of Epidemiology. 1995; 5 (4):325–332. [ PubMed ] [ Google Scholar ] [ncbi.nlm.nih.gov]

In the minds of some laboratory diagnosticians, the other 3 public health importance criteria will become the subjects of additional TMA-based detection and epidemiologic data. [clinchem.aaccjnls.org]

Poole DN, McClelland RS ; Global epidemiology of Trichomonas vaginalis. Sex Transm Infect. 2013 Sep89(6):418-22. doi: 10.1136/sextrans-2013-051075. Epub 2013 Jun 6. [patient.info]

3 to 5 million cases of trichomoniasis occur each year in the United States. 1 The worldwide prevalence of trichomoniasis is estimated to be 180 million cases per year; and these cases account for 10% to 25% of all vaginal infections. 2 Etiology and Pathophysiology [basicmedicalkey.com]

STD Pathophysiology STD Prevention and Treatment STD Diagnosis History of Sexually Transmitted Disease [news-medical.net]

Useful For Suggests clinical disorders or settings where the test may be helpful Detection of Trichomonas vaginalis in male patients Clinical Information Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory [mayocliniclabs.com]

Useful For Suggests clinical disorders or settings where the test may be helpful Detection of Trichomonas vaginalis in female patients Clinical Information Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory [mayomedicallaboratories.com]

It is important to tell and treat the sexual partner(s) to prevent re-infection and further spread of the infection. Prevention Practicing safe sex can prevent trichomonas infection. [ada.com]

Always using a condom can help prevent this infection. One dose of metronidazole or tinidazole taken by mouth cures most women. [merckmanuals.com]

Therefore, treatment of pregnant women with at least asymptomatic trichomoniasis does not prevent preterm delivery. [antimicrobe.org]

How can I prevent bacterial vaginosis? Some individual will continue to get BV regularly. [ottawapublichealth.ca]

Centers for Disease Control and Prevention: 1998 Guidelines for treatment of sexually transmitted diseases. MMWR 1998, 47 :74–75. [link.springer.com]