A hairy case of trichomoniasis: Azole resistance or reinfection?

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SEXUAL HEALTH

A hairy case of trichomoniasis: Azole resistance or reinfection?

By Massimo Giola
Trichomonas vaginalis
Colourised scanning electron microscopy image of the “hairy unit”, Trichomonas vaginalis [Image: fickleandfreckled on Flickr, CC BY 2.0]

Sexual health specialist Massimo Giola discusses Trichomonas vaginalis infection and treatment, including whether patients can drink alcohol while taking metronidazole

Key points, The gold standard for treatment of Trichomonas vaginalis infection is now a one-week course of metronidazole 400mg twice daily with food. T. vaginal, Pract Green w Pale Yellow
References

1. Visapää JP, Tillonen JS, Kaihovaara PS, Salaspuro MP. Lack of disulfiram-like reaction with metronidazole and ethanol. Ann Pharmacother 2002;36(6):971–74.

2. Brosh-Nissimov T, Hindiyeh M, Azar R, et al. A false-positive Trichomonas vaginalis result due to Trichomonas tenax presence in clinical specimens may reveal a possible T. tenax urogenital infection. Clin Microbiol Infect 2019;25(1):123–24.