Sexually acquired metronidazole-resistant trichomoniasis in a lesbian couple.
Open accessAbstract
A lesbian couple in a monogamous relationship each presented with vaginal discharge demonstrable on culture to contain Trichomonas vaginalis. Their symptoms had failed to respond to standard regimens of metronidazole, and subsequent microbiological sensitivities confirmed resistance of the trichomonads to metronidazole (minimum inhibitory concentrations in aerobic conditions > 8 mcg/ml). In addition, the couple denied use of penetrative sex toys or recent male partners, supporting the concept of transmission through mutual masturbation.
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This possibility is most directly supported by reports of shared trichomonas infections and by concordant drug-resistance genotype testing and phylogenetic linkage analysis identifying HIV transmitted sexually between women.
“This possibility is most directly supported by reports of shared trichomonas infections (293,294) and by concordant drug-resistance genotype testing and phylogenetic linkage analysis identifying HIV transmitted sexually between women (295,296).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [293]
Trichomonas is a relatively common infection among WSW and WSWM, with prevalence rates higher than for chlamydia or gonorrhea, and direct transmission of trichomonas between female partners has been demonstrated.
“Trichomonas is a relatively common infection among WSW and WSWM, with prevalence rates higher than for chlamydia or gonorrhea (306,307), and direct transmission of trichomonas between female partners has been demonstrated (293,294).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [293]
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Cites
Failure to Identify Venereal Disease in a Lesbian Population
Robertson, P. A., & Schachter, J. (1981) · Sexually Transmitted Diseases · doi:10.1097/00007435-198104000-00008 · Cited by 102 · see citing works
Trichomonal Vaginitis Resistant to Metranidazole.
Sc, R. (1962) · PubMed · Cited by 64 · see citing works
Sexually Transmitted Diseases in Lesbians
Edwards, A., & Thin, R. N. (1990) · International Journal of STD & AIDS · doi:10.1177/095646249000100304 · Cited by 52 · see citing works
Managing trichomonal vaginitis refractory to conventional treatment with metronidazole.
Ahmed-Jushuf, I. H., Murray, A. E., & McKeown, J. (1988) · Sexually Transmitted Infections · doi:10.1136/sti.64.1.25 · Cited by 19 · see citing works
Trichomonas vaginalis infection in a lesbian.
Sivakumar, K., Silva, A. H. D., & Roy, R. B. (1989) · Sexually Transmitted Infections · doi:10.1136/sti.65.6.399-a · Cited by 19 · see citing works
Kinghorn, G. R. (1992) · International Journal of STD & AIDS · doi:10.1177/095646249200300106 · Cited by 15 · see citing works
Description of Trichomonas vaginalis by M. A. Donné
KAMPMEIER, R. H. (1978) · Sexually Transmitted Diseases · doi:10.1097/00007435-197807000-00008 · Cited by 9 · see citing works
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Research works printed but not linked: 1
- Kampmeier RH. Description of Trichomonas vaginalis by MA Donne. Sex Transm Dis 1978;5:119.
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Sexually Transmitted Infections Treatment Guidelines, 2021
Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7004a1 · Cited by 2,759 · see citing works
Sexually transmitted infections and risk behaviours in women who have sex with women.
Fethers, K. (2000) · Sexually Transmitted Infections · doi:10.1136/sti.76.5.345 · Cited by 251 · see citing works
Muzny, C. A., Sunesara, I. R., Martin, D. H., & Mena, L. A. (2011) · Sexually Transmitted Diseases · doi:10.1097/olq.0b013e31822e6179 · Cited by 73 · see citing works
Prevalence and risk factors for infection with herpes simplex virus type-1 and -2 among lesbians.
Marrazzo, J. M., Stine, K., & Wald, A. (2003) · Sexually Transmitted Diseases · doi:10.1097/01.olq.0000091151.52656.e5 · Cited by 69 · see citing works
Singh, D., Fine, D. N., & Marrazzo, J. M. (2011) · American Journal of Public Health · doi:10.2105/ajph.2009.169631 · Cited by 69 · see citing works
Prevalence and correlates of Trichomonas vaginalis infection among female US federal prison inmates.
Sutcliffe, S., Newman, S. B., Hardick, A., & Gaydos, C. A. (2010) · Sexually Transmitted Diseases · doi:10.1097/olq.0b013e3181de4113 · Cited by 31 · see citing works
Muzny, C. A., Rivers, C. A., Mena, L. A., & Schwebke, J. R. (2012) · Sexually Transmitted Diseases · doi:10.1097/olq.0b013e31824f1c49 · Cited by 18 · see citing works
- Authors
- Kellock, D., & O'Mahony, C. P.
- Affiliations
- Countess of Chester Hospital NHS Foundation Trust (GB)
- Venue
- Sexually Transmitted Infections
- Publisher
- BMJ
- Published
- 1996-02-01
- Volume
- 72
- Issue
- 1
- Pages
- 60-61
- ISSN
- 0007-134X (ISSN-L)
- 1368-4973
- PMC
- PMC1195594
- OpenAlex
- W2021857042
- Cited by
- 61
- References
- 7
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2018: 1 · 2017: 2 · 2016: 4 · 2014: 3 · 2013: 5 · 2012: 6
- FWCI
- 0.90
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Sexually Transmitted Infections (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Medicine › Epidemiology › Urinary Tract Infections Management
- Health Sciences › Medicine › Ophthalmology › Ocular Infections and Treatments
- Keywords
- trichomoniasis, Trichomonas vaginalis, metronidazole resistance, vaginal discharge, antimicrobial susceptibility
- MeSH terms
- Adult, Animals, Antitrichomonal Agents, Drug Resistance, Female, Humans, Metronidazole, Microbial Sensitivity Tests, Trichomonas Infections, Trichomonas vaginalis, Homosexuality, Female
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