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Single oral dose of nitroimidazole is sufficient to kill the parasites. [34] For 95–97% of cases, infection is resolved after one dose of metronidazole. [26] [35] Studies suggest that 4–5% of trichomonas cases are resistant to metronidazole, which may account for some "repeat" cases.
Metronidazole, sold under the brand name Flagyl among others, is an antibiotic and antiprotozoal medication. [10] It is used either alone or with other antibiotics to treat pelvic inflammatory disease, endocarditis, and bacterial vaginosis. [10]
Trichomonas vaginalis from a vaginal swab. This is a heavy infection; there were probably thousands of trichomonads in the vagina. Alfred Francois Donné (1801–1878) was the first to describe a procedure to diagnose trichomoniasis through "the microscopic observation of motile protozoa in vaginal or cervical secretions" in 1836.
Trichomoniasis is a common STI that is caused by infection with a protozoan parasite called Trichomonas vaginalis. [70] Trichomoniasis affects both women and men, but symptoms are more common in women. [71] Most patients are treated with an antibiotic called metronidazole, which is very effective. [72]
However, in women with trichomonas the organism is typically detected in only 60-80% of cases. [28] Other testing, including a culture of the discharge or a PCR assay, are more likely to detect the organism. [28] Treatment is with a one time dose of oral antibiotics, most commonly metronidazole or tinidazole. [28]
Metronidazole or clindamycin: No Bacteroides species Bacteroides infection No Balantidium coli: Balantidiasis: microscopic examination of stools, or colonoscopy or sigmoidoscopy Tetracycline, metronidazole or iodoquinol: No Bartonella: Bartonellosis: microscopy, serology, and PCR: Antibiotics No Baylisascaris species Baylisascaris infection No ...