Trichomoniasis refractory to 5-nitroimidazole therapy in Trinidad.

Robert Jeffrey Edwards, Miriam Parboo, Jonathan Edwards, Gregory Boyce

Tropical doctor 2023 Jan

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Trichomoniasis is the most common non-viral sexually transmitted infection (STI) occurring worldwide and the majority of infected persons (70-85%) have mild or no genital symptoms. Symptoms in women may include a vaginal discharge which may be associated with vulval irritation and most infections can be effectively treated with metronidazole 500mg bd for seven days. Trichomoniasis unresponsive to 5-nitroimidazole therapy is uncommon but results in substantial therapeutic challenges, especially in resource limited countries. We present such a case which was eventually treated with a low-cost intravaginal combination of boric acid and clotrimazole cream.

Citation

Robert Jeffrey Edwards, Miriam Parboo, Jonathan Edwards, Gregory Boyce. Trichomoniasis refractory to 5-nitroimidazole therapy in Trinidad. Tropical doctor. 2023 Jan;53(1):143-145