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A 22-year-old woman is referred to your public health clinic (thank
you PHS for paying off the loans) as a result of contact tracing in a case
of gonorrhea. The woman, who had recently had unprotected sexual intercourse
with a man symptomatic for gonorrhea, had no symptoms. Physical examination
was normal. The pelvic examination is depicted in Figure
1. Cervical culture was obtained for Neisseria gonorrhoeae
and Chlamydia trachomatis. Examination of a wet mount of the vaginal
discharge revealed the presence of many jerky moving organism depicted
in Figure 2.
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Obtain the answers to the following questions and email your answers to nchamberlain@kcom.edu by the deadline (Feb. 16, 2000; 4:00 PM).
1. What organism is depicted in Figure 2?
2. Is this the most common cause of vaginitis? If your answer is NO then what is the most common cause of vaginitis?
3. How is the organism in Figure 2 most commonly acquired?
4. How would you treat this patient if her Neisseria gonorrhoeae and Chlamydia trachomatis cultures also came back positive?
This contest has been fun to create and I hope you had fun working
on it.
Take Care and Think Microbiologically!
Neal R. Chamberlain, Ph.D.
Infectious Diseases, Course Director.