Respiratory physician Lutz Beckert considers chronic obstructive pulmonary disease management, including the prevention of COPD, the importance of smoking cessation and pulmonary rehabilitation, and the lifesaving potential of addressing treatable traits. He also discusses the logic of inhaler therapy, moving from single therapy to dual and triple therapy when indicated, as well as other aspects of management
A hairy case of trichomoniasis: Azole resistance or reinfection?
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In print
SEXUAL HEALTH
A hairy case of trichomoniasis: Azole resistance or reinfection?
Wednesday 25 May 2022, 12:50 AM

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
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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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.