RT Book, Section
A1 Mayeaux, E.J.
A1 Usatine, Richard P.
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114873418
T1 Trichomonas Vaginitis
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114873418
RD 2024/04/20
AB A  17-year-old  teen  presents  with  a  vaginal  itching,  odor,  and  discharge  for  several  weeks.  She  has  one  partner  who  is  asymptomatic.  Speculum  examination  shows  a  cervix  (Figure  78-1)  with  a  copious  foamy  white  discharge  with  a  fishy  odor.  Wet  mount  shows  trichomonads  swimming  in  saline  (Figures  78-2  and  78-3).  The  trichomonads  are  larger  than  white  blood  cells  (WBCs)  and  have  visible  flagella  and  movement.  She  is  diagnosed  with  trichomoniasis  and  treated  with  2  g  of  metronidazole  in  a  single  dose.  The  patient  is  tested  for  other  sexually  transmitted  diseases  (STDs)  and  her  partner  is  treated  with  the  same  regimen.