Dermatology

Module 4

Trichomoniasis
Often occur STD may lead to serious complications caused by
trichomonas vaginalis, affected the multilayer flat epithelium in
urogenital track. It is a unicellular protozoa 10-30mkm, has forms
as pear, oval, round, amoeboid in the center through the body
passed the axial shaft – axostyle, on sides membrane. On anterior
part 3-5 flagella, due to these trichomonas has impulse, revolving,
progression, movement. Outside the human body trichomonas
quickly died because they cannot form cysts and other forms.
In males it affects, urethra, prostate and seminal vesicles. In
females it affects, vagina, urethra, Para-urethral ducts, and
bertholins glands, urinary bladder and uterine cervix.
It is transmitted by sexual contact and rarely by close contact. The
incubation period is 7-14 days the trichomonas may be;
1) Fresh before 2 months, may be acute, sub-acute and torpid.
2) Chronic after 2 months
3) Carriers of trichomonas vaginalis
The clinical signs in females arise as vaginitis, it may be;
a) Acute form—perfuse yellow, green and foamy discharge
(the trichomonas is eliminated enzyme hyaluronidaze)
pruritus of genitalia, burning and painful on mastication and
coitus.
b) Chronic form—asymptomatic course
c) In males urethritis, edema of urethral lips, poor muco-
purulent discharge especially in the morning, discomfort in
the urethra as burning and itching. In males the Ds-c more
hardly then females, because less in number and less mobile
form.
Diagnosis

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 Dermatology
Module 4

--microscopy
--bacteriologic (culture)
Treatment
Drugs of nitroimidazolum group,Metronidazole (trichopolum),
Flagilum, tinidazolum, For pregnant women Atricanum

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