INFECTIONS OF TRICHOMONIASIS SEXUAL TRANSMITTED

4. TRICHOMONIASIS INFECTIONS SEXUAL TRANSMITTED DISEASES

Etiology or the cause of a disease
• Trichomonas vaginalis is a venereal infection in most instances. The cervix, urethra, and bladder may be involved secondary. The vaginal organisms can often be trace to the male partner, who harbors the flagellate beneath the prepuce or in the urethra.
• Unsolicited reporting of vaginal discharge or leucorrhea suggests vaginitis or trichomoniasis.
Symptoms and signs
• Vulvitis in the adult may be associated with trichomonas vaginalis or candida infections of the vagina, particularly during pregnancy. Leucorrhea due to trichomonas vaginalis infection usually occurs as a diffuse vaginitis [infection of vagina] characterized by a thin, yellow-green, occasionally frothy discharge with a fetid odor. Numerous red points [like strawberry patches], which rarely bleed, are scattered over the vaginal surface and cervical surface.
• Typical symptoms are profuse purulent vaginal discharge and vulva itching
• Inflammation of vulva, vaginal epithelium, and servix.

Diagnose
Microscopy: Leucocytes; motile trichomonads seen in 80 to 90 % of
symptomatic patients, less often in the absence of symptoms
The new DNA probe test [the Affirm test] can detect trichomonas vaginalis
Complications
Trichomonas vaginalis infections of vagina is often followed by chronic cervicitis, a
major factor in infertility. Urinary tract trichomoniasis may cause troublesome
symptoms.

Treatment
Tinidazol [generic, Fasigyn brand] 500 mg/tablet per oral , if body weight less than
60 kg, the dose 3 tablets once daily for 4 days; if the body weight more than 60 kg the
dose 4 tablets once daily for 3 days; or
Metronidazole [generic, Flagyl brand] 5oomg/tablet per oral the same dose with the
Fasigyn.

Prevention
The husband should use a condom if infection or re-infection is likely. Sexual
promiscuity and borrowing of douche tips, underclothing, or other possibly
contaminated articles should be avoided.