title: Trichomoniasis as seen in a chronic vaginitis clinic.
abstract: OBJECTIVE
  We sought to determine the clinical and laboratory features of trichomonas vaginitis (TV) in a chronic vaginitis clinic.
  
  
  METHODS
  We studied 45 women with symptomatic TV attending a specialty chronic vaginitis clinic. These patients were older than the usual symptomatic patients with TV. They frequently described unusual chronicity of symptoms, half being referred because of clinical resistance and the other half referred because of chronic vaginitis of unknown etiology.
  
  
  RESULTS
  In spite of the chronicity of infection, the signs and symptoms of florid inflammation were still evident and high numbers of polymorphonuclear leukocytes and parasitic load were present.
  
  
  CONCLUSIONS
  A longstanding infection, especially if previously untreated, invariably responded to conventional nitroimidazole therapy. In addition, the majority of patients seen with clinical resistance to the conventional doses of metronidazole responded to high-dose oral metronidazole therapy. Unsuspected TV should always be considered in low-risk patients with chronic vulvovaginal symptoms.
authors.affiliation: Division of Infectious Diseases Department of Internal Medicine Wayne State University School of Medicine Detroit Medical Center, Detroit, MI, USA.
authors.forename: M
authors.initials: M
authors.lastname: Dan
authors.forename: J D
authors.initials: JD
authors.lastname: Sobel