Trichomonas vaginalis Flashcards
Define tri-cho-mo-niasis
Trich is a STI which results in urinary and genital symptoms
What type of organism is Triichomonas vaginalis?
Flagellated protozoan = single celled eukaryote
Symptoms of Trichomonas vaginalis infection - ppl with penises and vaginas
In men:
- burning when peeing or ejaculating
- itching or irritation inside penis
- discharge
In women:
- asymptomatic
- dysuria
- vulvovaginitis aka itchiness/burning/soreness of genitals
- fishy smelling discharge (white/yellow/grey/green)
Dyuria
Vulvovaginitis (inflammation around vagina/vulva)
Discharge - frothy, yellow-grey, fishy
Abdominal pain
Symptoms of Trichomonas vaginalis infection in men
Dyuria
Discharge from urethra
Increased frequency
Investigations + key thing to remember
High vaginal swab from the posterior fornix
(MC and S not routine)
NAAT test - nucleic acid amplification test
Offer other STI tests, like chlamydia, gonorrhoea, HIV and syphilis
What’s found on speculum examination for TV?
Strawberry cervix due to PUNCTATE HAEMORHAGES
Complications of TV
Preterm delivery
Treatment of TV
Oral metronidazole 5-7 days
What is seen on wet mount for TV?
Motile trophozoites
