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Re: Trich revisited From: Rafael Haciski MD (haciski@earthlink.net) Thu Nov 2 05:16:28 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Douglas Krell MD: "Re: Oral Cytotec" Previous message: Braun, R. Daniel: "Re: Born In the USA" In reply to: Richard Chudacoff, MD: "Trich revisited" Next in thread: DoctorJoe@aol.com: "Re: Trich revisited" I once had a "resistant" trich infection - she has been treated over many months (probably 1-2 years) by other physicians, with persitant recurrence. After confirming presence of trich on the wet mount, I gave her a course of Flagyl for 10 days, and saw her again at the conclusion of treatment. At that time she was asymptomatic but I again saw the Trich on the wet mount, although in much lower numbers than before. I then placed her on Metrogel for a month, and that seemed to have "cured" her. She did not have any recurrence afterwards. Thus I think this "recurence" is most likely incomplete treatment, for whatever reasons. Solution is to persist until eradication. However, I am not sure how I would handle this in a pregnant patient. -- Rafael Haciski, MD FACOG Gynecology & Infertility Assoc. Baltimore MD http://www.ivf-md.com > From: "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com> > Reply-To: ob-gyn-l@obgyn.net > Date: Wed, 1 Nov 2000 11:18:41 -0600 > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> > Subject: Trich revisited > > Y’all remember the 20 yo G7P1 who had the resistant Trichomonas infection I > presented a while back? Well, I treated her with PO Flagyl after giving her > Phenergan for nausea and she came back with no vaginal discharge, and no > Trichamonads. That was a month ago. Guess what…it’s back and she swears she > has had no intercourse or insertion of anything into the vagina, and she > does not wear the same underwear for a week, nor does she wear anyone else’ > s? I tend to believe her, but now where do I go from here? Could she have an > amniotic infection? Would you do an amniocentesis? > > 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 > ********************************************************************** > Neither the confidentiality nor the integrity of this message > can be guaranteed following transmission on the Internet. > ********************************************************************** > > Next message: Douglas Krell MD: "Re: Oral Cytotec" Previous message: Braun, R. Daniel: "Re: Born In the USA" In reply to: Richard Chudacoff, MD: "Trich revisited" Next in thread: DoctorJoe@aol.com: "Re: Trich revisited"

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