Tricomoniaisis Flashcards

1
Q

Trichomonas vaginalis

A

Protozoario urogenital se encuentra en forma de trofozoito con 4 flagelos y membrana ondultante; se multiplia fisiòn binaria longitudinal, anaerobio y carece de mitocondriales.

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2
Q

CLINICA

A

Descarga fètida amarillo- verdosa
Leucocitos PMN
Eritema vuvovaginal
Eritema ectocervical (colpitis “ en fresa”)
Ph >4.5
Positividad a KOH
Dispareunia
Dolor abdominal
Disuria
Epididmits
Ulceraciones peneanas superficiales
Prostatitis

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3
Q

Prueba diagnòstica

A

Microoscopìa de la secreciòn vaginal en fesco o con IF directa, cultivo ( sensible tarda 3-7 d)
Citologia cervical ( papanicolaou o Giemsa
Urocultivo ( masaje prostatico)

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4
Q

Tratamiento de elecciòn

A

Metronidazol por 7 dias en DU
Tinidazol segunda inea

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5
Q

P I.

A

5-28 dias

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