Consider Trichomonas vaginalis in the differential diagnosis for genital ulcers
Journal
Sexually Transmitted Diseases
ISSN
1537-4521
Date Issued
2025-05-23
Author(s)
Type
journal-article
Abstract
<jats:title>Abstract</jats:title>
<jats:p>A 21-year-old immunocompromised female (advanced HIV, CD4 count: 9 cells/μL) presented with painful genital ulcers. A multiplex PCR panel detected Trichomonas vaginalis in both vaginal and ulcer swabs, while tests for Neisseria gonorrhoeae, Chlamydia trachomatis, and Mycoplasma genitalium were negative. The patient was treated with metronidazole, resulting in significant clinical improvement. This case underscores the importance of considering T. vaginalis in the differential diagnosis of genital ulcers, particularly in immunocompromised individuals, and highlights the utility of molecular testing in atypical presentations.</jats:p>
<jats:p>A 21-year-old immunocompromised female (advanced HIV, CD4 count: 9 cells/μL) presented with painful genital ulcers. A multiplex PCR panel detected Trichomonas vaginalis in both vaginal and ulcer swabs, while tests for Neisseria gonorrhoeae, Chlamydia trachomatis, and Mycoplasma genitalium were negative. The patient was treated with metronidazole, resulting in significant clinical improvement. This case underscores the importance of considering T. vaginalis in the differential diagnosis of genital ulcers, particularly in immunocompromised individuals, and highlights the utility of molecular testing in atypical presentations.</jats:p>
Subjects
advanced hiv
;
genital ulcers
;
pcr
;
trichomonas vaginalis