Re: sistant Trichomoniasis

From: ainsron@msn.com
Thu Aug 31 10:10:35 2000


Were you giving her the 2gm single dose or other? I would probably try the single dose and at the same time give her some compazine/phenergan/tigan... to pretreat the nausea. Single dose is much easier tolerated and you know they have been adequately treated in most circumstances if the trich is sensitive. Metrogel is certainly not adequate treatment for trich. Be doubly certain that she is not taking anything with alcohol- cough suppressants, etc.

>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 <mailto:rchudacoff@mylinuxisp.com>
>Richard.Chudacoff@obgyn.net
>

--
Ronald E. Ainsworth, MD




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