© 2003 BMJ Publishing Group
SHORT REPORT
Late recurrence of resistant Trichomonas vaginalis vaginitis: relapse or re-infection?
1 Division of Infectious Diseases, Department of Medicine, Detroit Medical Center, Harper Hospital, Detroit, Michigan, USA
2 Wayne State University School of Medicine
Correspondence to:
Correspondence to:
Jack Sobel;
jsobel{at}intmed.wayne.edu
Distinguishing between re-infection and relapse of trichomonas infections is often a difficult task in the clinical setting. The chronicity of trichomonas infections and the ongoing sexual activity are two confounding factors. We present a patient with recurrent resistant vaginal trichomoniasis shortly following a sexual contact with an untreated partner after a complete response to treatment with tinidazole for nine months. We hypothesise that re-infection occurred from the asymptomatic partner who was an untreated chronic carrier of resistant trichomonas in the urogenital tract.
Keywords: vaginitis; Trichomonas vaginalis; tinidazole
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