Symptomatic trichomoniasis, metronidazole allergic and pregnant--a management dilemma.
A case of persistent Trichomonas vaginalis (TV) in a pregnant, metronidazole-allergic woman is described. This case posed a management dilemma as untreated TV has been associated with adverse pregnancy outcomes but antibiotic desensitization is potentially dangerous during pregnancy.
Lomax
N J
NJ
Infection and Immunity Specialty Group, Frederick Andrews Ward, 4th Floor, KGV Block, St Bartholomew's Hospital, London EC1 7BE, UK. nicola.lomax@bartsandthelondon.nhs.uk
Estcourt
C
C
Mirakian
R
R
D000328:Adult; D000818:Animals; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D000994:Antitrichomonal Agents / Q000009:adverse effects*; D003022:Clotrimazole / Q000627:therapeutic use; D004342:Drug Hypersensitivity / Q000150:complications*; D005260:Female; D006801:Humans; D008795:Metronidazole / Q000009:adverse effects*; D010570:Pessaries; D011247:Pregnancy; D015597:Pregnancy Complications, Parasitic / Q000188:drug therapy*; D014247:Trichomonas Vaginitis / Q000188:drug therapy*
D000891:Anti-Infective Agents, Local; D000994:Antitrichomonal Agents; D008795:Metronidazole; D003022:Clotrimazole