关键区别 - trichomonisis vs bv
滴虫病and bacterial vaginosis are two commonly misdiagnosed conditions that have a similar clinical presentation. Trichomoniasis is a sexually transmitted disease (标准) caused by a flagellated protozoon namedtrichomonas阴道。一个命名的有机体加德纳阴道引起细菌性阴道病,其特征是冒犯性阴道。Although trichomoniasis is considered as a sexually transmitted disease, bacterial vaginosis is not included in that category because its causative agents are not known to spread the disease through sexual contact.这是滴虫病和BV之间的关键区别。
CONTENTS
1。概述和关键差异
2。什么是trichomonisis
3。什么是BV
4。滴虫病和BV之间的相似之处
5。并排比较 - 表格形式的毛孔病与BV
6。Summary
什么是trichomonisis?
滴虫病is a sexually transmitted disease that is caused by a flagellated protozoon namedtrichomonas阴道。This organism adheres to the overlying鳞状上皮of the vagina and尿道,,,,resulting in the infection of those regions. Babies can also get this disease in their passage through the genital tract during the delivery.
Clinical Features
通常,被感染的妇女无症状
- 阴道排出
- 局部刺激
- Urethral discharge, urinary frequency, and irritation in infected men
在检查过程中,可以观察到红斑阴道壁和淡黄色的排放。Cervix由于宫颈壁上存在微小的出血性病变,因此具有特征性的草莓宫颈外观。怀孕期间的毛瘤病感染增加了早产和低出生体重的可能性。
诊断
- 黑暗的显微镜揭示了存在trichomonas阴道along with a large number of polymorphonuclear淋巴细胞。
- 培养生物体证实了诊断
Treatment
- 口服甲硝唑是治疗细菌性阴道病的首选药物。无论没有症状如何,男性性伴侣也应受到治疗。
什么是BV?
细菌性阴道病是一种以冒犯性阴道的为特征的疾病。通常,构成正常阴道菌群的乳杆菌被病原体取代加德纳阴道和厌氧生物,例如菌孢子和动员。The amines produced by these organisms are thought to be the cause of the foul odor seen in this condition. There are no associated inflammatory reactions. Bacterial vaginosis is not a sexually transmitted disease.
Clinical Features
- 灰色的白色阴道排放,气味
- Some patients can remain asymptomatic
- 可能会有并发症,例如孕妇过早劳动和绒毛膜炎
诊断
以下至少三个标准应存在以诊断细菌性阴道病。
- 具有特征性的阴道
- 胺测试的pH值超过4.7
- 在10%氢氧化钾上混合一滴排放时的腥味
- 在阴道流体的显微镜检查中存在线索细胞
线索细胞是阴道上皮细胞,由于细菌遵守其表面而具有颗粒状的外观。
Treatment
- Oral metronidazole given in 400 mg doses twice a day for 5-7 days.
- 阴道静脉内施用2%克林霉素霜,每天7天一次。
滴虫病和BV之间有什么相似之处?
- 两者都是传染病。
- 两者都有类似的临床图片,并具有特征性的臭臭阴道排放。
- Both BV and trichomoniasis can be a cause of preterm labor.
What is the Difference Between Trichomoniasis and BV?
trichomonisis vs BV |
|
滴虫病is a sexually transmitted disease that is caused by a flagellated protozoon namedtrichomonas阴道。 | 细菌性阴道病是一种以冒犯性阴道的为特征的疾病。 |
传输方法 | |
这是一种性传播疾病。 | 这不是性传播疾病。 |
因果剂 | |
因果剂是trichomonas阴道。 | 有多种因果剂,例如加德纳阴道和厌氧生物,例如菌孢子和动员。 |
摘要 - trichomonisis vs bv
滴虫病is a sexually transmitted disease that is caused by a flagellated protozoon namedtrichomonas阴道。Bacterial vaginosis is a disease characterized by an offensive vaginal discharge that caused by multiple causative agents such as加德纳阴道,细菌和动员。尽管滴虫性疾病是一种性传播疾病(STD),但细菌性阴道病不被视为性病。这是滴虫病和BV之间的基本差异。
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References:
1。Kumar, Parveen J., and Michael L. Clark. Kumar & Clark clinical medicine. Edinburgh: W.B. Saunders, 2009.
图片提供:
1.通过下议院维基梅迪亚
2。“Vaginose-G15” by Per Grinsted / Medicinsk Webdesign(CC BY-SA 3.0)通过下议院维基梅迪亚
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