|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: cytolytic vaginosisFrom: Betsy Hyde (elishyde@connix.com)Thu Sep 5 21:36:56 1996
>I am an internist who treated a healthy 28 year old woman for bacterial >vaginosis one month ago with Metrogel. She was symptomatic, had clue cells >and (+) amines. She returned with similar symptoms yesterday, and thick >white-yellow discharge, no signs of cervicitis. Took cervical cultures. >Wet mount showed numerous large rods, few wbc's or clue cells, KOH-no >yeast, no amines. > >A text described cytolyic vaginosis with similar sx's to bacterial >vaginosis, but with few clue cells and WBC's and lots of lactobacilli on >wet mount. The treatment is NaHCO3 douches. > >My questions: > > (1) Is cytolytic vaginosis the same as lactobacillosis? > > (2) Does the fact that this pt douche with vinegar 3 times weekly > contribute to an acidic environment and overgrowth of > lactobacillus? > >Thank you. > >Katherine Sherif, MD email: sherifk@allegheny.edu >Medical College of Pennsylvania I find cytolytic vaginosis (vaginitis) most oftenly confused with recurrent yeast....ie heavy white vaginal discharge with itching. KOH neg for hyphae and amines, but wet mount often with numerous rods (presumably lactobacilli).Since rx and symptomatic relief comes with baking soda douche, it seems logical to me that vinegar douches might contribute to overgrowth of lactobacilli.
-- Betsy Hyde CNM Branford, CT
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:19:32 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.