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The Treatment of Trichomonas Vaginitis.
| Content Provider | Semantic Scholar |
|---|---|
| Copyright Year | 1943 |
| Abstract | The treatment of trichomonas vaginitis is often regarded as a simple matter, but a systematic study reveals many difficulties and complexities. Certain important characteristics of the disease must. be taken into consideration in planning treatment. They are as follows. 1. Trichomonas 4aginitis is very frequently associated with a poved gonococcal infection. In the present series 189 cases were treated at a military hospital over a period of one year. In sixty cases or thirty-two per cent a proved gonococcal infection was also present. 2. There is reason to believe that trichomonas infections frequently mask gonococcal infections. In cases where this occurs it is sometimes possible to show the presence of the gonococcus by a prolonged series of tests, but the delay involved usually makes this impracticable. Consequently many cases in which the history and clinical findings provide strong evidence that gonorrhoeal infection is present are diagnosed as uncomplicated trichomonas vaginitis from lack of positive evidence as to the presence of the gonococcus. 3. Many trichomonas infections have a strong tendency to relapse after a course of treatment which has been apparently successful. These relapses often occur without symptoms, or with symptoms so slight that the patient ignores them. The importance of such relapses cannot be disregarded, for experience shows that routine tests taken from the relapsing patient who has no symptoms sonmetimes reveal gonococci in sites where they have not been found previously. It may be said then, that in treating trichomonas infections three aims should be kept in view: to eliminate a known or suspected gonococcal infection, to cure the trichomonas infection and to detect and treat relapses of either or both infections. Particular emphasis may be given to this last aim. It is not the usual practice to insist on the same period of post-treatmentobservation in trichomonas infections is in cases of proved gonorrhoea. Yet to do sot seems a very obvious precaution when one considers the very close association between the two conditions, the high frequency of relapse in trichomonas infections, and the possibility that suQh relapses may remain unnoticed by the patients. From these considerations ft follows that any course of treatment is incomplete, and in many cases of very little value, if no arrangements are made for post-treatment observation and tests. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://sti.bmj.com/content/sextrans/19/3/126.full.pdf |
| PubMed reference number | 21773363v1 |
| Volume Number | 19 |
| Issue Number | 3 |
| Journal | The British journal of venereal diseases |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Gonorrhea Infection Military Hospitals Neisseria gonorrhoeae Patients Signs and Symptoms Sixty Trichomonas Infections Trichomonas Vaginitis |
| Content Type | Text |
| Resource Type | Article |
