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The etymology behind the term "clue" cell derives from the original research article from Gardner and Dukes describing the characteristic cells. The name was chosen for its brevity in describing the sine qua non of bacterial vaginosis. [1] They are a medical sign of bacterial vaginosis, particularly that caused by Gardnerella vaginalis, [2] a ...
A vaginal wet mount with a clue cell, indicating bacterial vaginosis. Bacterial vaginosis generally produces a vaginal discharge that is thin and milky with a fishy odor. [1] Diagnosis is made using Amsel Criteria - three of the four following criteria must be met: >20% of the epithelial cells are clue cells (the single most reliable predictor) [4]
If present, clue cells can be visualized under a microscope. They are so-named because they give a clue to the reason behind the discharge. These are epithelial cells that are coated with bacteria. Differential diagnosis for bacterial vaginosis includes the following: [42] Normal vaginal discharge. Candidiasis (thrush, or a yeast infection).
Gram stain of cells from the vagina (the same magnification) with normal bacterial flora (top) and the bacteria that cause vaginosis (bottom). A variety of diagnosis techniques are currently available for identifying Gardnerella vaginalis such as the OSOM BV Blue assay, FemExam cards and nucleic acid amplification tests (NAATs), resulting in the determination of ongoing BV.
Microscopic picture of vaginal epithelial clue cells coated with Gardnerella vaginalis, magnified 400 times Scientific classification; Domain: Bacteria: Phylum: Actinomycetota: Class: Actinomycetia: Order: Bifidobacteriales: Family: Bifidobacteriaceae: Genus: Gardnerella Greenwood and Pickett 1980 [1] Species [2] Gardnerella greenwoodii Sousa ...
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