Re: resistant trich

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Thu Aug 31 08:39:22 2000


What's the presumptive etiol. of the losses?

My gut feeling is therapeutic, but it could be infective. I didn't work her up since she arrived in my office at 22 weeks, and baby has looked great. I did get anti-phospholipid antibodies, and they were negative.

Rick

"Richard Chudacoff, MD" wrote:

> I have 22 yo G7 P1 (new patient, no old records, swears these are all
> spontaneous Abs) who presented at her new OB visit with
> Trichomoniasis. I treated her with oral Metronidazole, which she could
> not tolerate (GI upset). I then treated her with Metrogel for 7 days,
> and she returned with a positive test of cure. I repeated the gel for
> 14 day, and again she is positive on wet mount. Her husband has been
> on an oil rig for a couple of months and she states she has not had
> intercourse with anybody.
>
> What is interesting is the Trichamonads are now more rounded and
> slightly larger, but still one can see the flagellum beating.
>
> What do you use for resistant Trichomoniasis? Do you think this could
> be something else?
>
> Rick
>
> Richard Chudacoff, MD
>
> Chudacoff Obstetrics & Gynecology, PLLC
>
> 15200 Southwest Freeway, #270
>
> Sugar Land, TX 77478
>
> Tel: 281-277-3900
>
> Fax: 281-277-3901
>
> rchudacoff@mylinuxisp.com
>
> Richard.Chudacoff@obgyn.net
>

--------------5A6FF6A14915DA1CE1EC1A88 Content-Type: text/html; charset=x-user-defined Content-Transfer-Encoding: 7bit

<!doctype html public "-//w3c//dtd html 4.0 transitional//en"> Sure sounds like trich-culture is an option.Is she symptomatic?IV metronidazole(by home health )?What's the presumptive etiol. of the losses?

"Richard Chudacoff, MD" wrote:

I have 22 yo G7 P1 (new patient, no old records, swears these are all spontaneous Abs) who presented at her new OB visit with Trichomoniasis. I treated her with oral Metronidazole, which she could not tolerate (GI upset). I then treated her with Metrogel for 7 days, and she returned with a positive test of cure. I repeated the gel for 14 day, and again she is positive on wet mount. Her husband has been on an oil rig for a couple of months and she states she has not had intercourse with anybody.

What is interesting is the Trichamonads are now more rounded and slightly larger, but still one can see the flagellum beating.

What do you use for resistant Trichomoniasis? Do you think this could be something else?

Rick

Richard Chudacoff, MD

Chudacoff Obstetrics & Gynecology, PLLC

15200 Southwest Freeway, #270

Sugar Land, TX 77478

Tel: 281-277-3900

Fax: 281-277-3901

rchudacoff@mylinuxisp.com

Richard.Chudacoff@obgyn.net

--------------5A6FF6A14915DA1CE1E





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