Consider Trichomonas vaginalis in the Differential Diagnosis for Genital Ulcers.

IF 1.7 4区医学 Q3 INFECTIOUS DISEASES

Sexually transmitted diseases Pub Date : 2025-11-01 Epub Date: 2025-05-23 DOI:10.1097/OLQ.0000000000002182

Samuel Ibáñez, Jorge Navarrete

引用次数: 0

Abstract

Abstract: A 21-year-old immunocompromised female (advanced HIV, CD4 count: 9 cells/μL) presented with painful genital ulcers. A multiplex PCR panel detected Trichomonas vaginalis in both vaginal and ulcer swabs, while tests for Neisseria gonorrhoeae , Chlamydia trachomatis , and Mycoplasma genitalium were negative. The patient was treated with metronidazole, resulting in significant clinical improvement. This case underscores the importance of considering Trichomonas vaginalis in the differential diagnosis of genital ulcers, particularly in immunocompromised individuals, and highlights the utility of molecular testing in atypical presentations.

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考虑阴道毛滴虫对生殖器溃疡的鉴别诊断。

摘要/ Abstract摘要：1例21岁女性（HIV晚期，CD4计数：9细胞/μL）出现疼痛性生殖器溃疡。多重聚合酶链反应小组在阴道和溃疡拭子中均检测到阴道毛滴虫，而淋病奈瑟菌、沙眼衣原体和生殖支原体检测均为阴性。患者给予甲硝唑治疗，临床有明显改善。本病例强调了在生殖器溃疡的鉴别诊断中考虑阴道绦虫的重要性，特别是在免疫功能低下的个体中，并强调了分子检测在非典型表现中的实用性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sexually transmitted diseases 医学-传染病学

CiteScore

4.00

自引率

16.10%

发文量

289

审稿时长

3-8 weeks

期刊介绍： Sexually Transmitted Diseases, the official journal of the American Sexually Transmitted Diseases Association, publishes peer-reviewed, original articles on clinical, laboratory, immunologic, epidemiologic, behavioral, public health, and historical topics pertaining to sexually transmitted diseases and related fields. Reports from the CDC and NIH provide up-to-the-minute information. A highly respected editorial board is composed of prominent scientists who are leaders in this rapidly changing field. Included in each issue are studies and developments from around the world.