Opportunistic Protozoa

Chilomastix mesnili

Enteromonas hominis

Trichomonas tenax

Trichomonas intestinalis

Trichomonas spp.

• T.tenax

• T.intestinalis

• T.vaginalis

Trichomonas vaginalis is a facultative anaerobic protozoan parasite

What is Trichomoniasis or "trick"?

The organism that causes this STD is

Trichomonas vaginalis

inflammation of the mucous membranes

of the vagina and of the urethra

in both males and females

This is a common STD for the

ages 16 to 30.

Pathogenesis

pH

3.5-4.5

Glycogengen

Lactate

Oestrogen

Glucose

Lactobacilli

pH:4.9-7.5

Symptoms:

Symptoms in females include

a yellow vaginal discharge with

a strong nasty odor,

Dysparunia, Polyuria.severe itching in the vagina.

Males can have it with no symptoms.

the organism does live in the

urethra and prostate causes urethritis.

Incubation Period4 to 20 days. Average 7 days

Clinical forms:

A Symptomatic Carriers

Acute Trichomoniasis

Chronic Trichomoniasis

Normal Cervix

DIAGNOSIS

• Diagnosis is made microscopically

by identification of the parasite on a

"wet-mount" slide prepared from

vaginal discharge.

• Culture

• Pap. smear

Material &Methods

Study Population:

1-13 of 20 Ordinary patients

2-20 of 23 Female prisoners

suffering from Trichomoniasis included

Each approved case received either:

Secnidazole 4x500mg single dose

OR

Metronidazole 2x250mg tablets b.i.d. 7 days

post treatment reexamination performed

after 1 week

Treatment

This STD can be treated and cured by a

strong drug that kills parasites.

sexual partner(s) MUST both be treated at the

same time so do not get reinfected.

The drug of choice is a pill called Flagyl or

metronidazole.

Secnidazole, Clotrimazole , Betadine

NO any alcohol during & 24 to 48 hours after

treatment .It may cause severe vomiting,

among other nasty symptoms.

Using condoms and spermicide will prevent

Trichomoniasis.