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At least 73 records · Page 4Linked to original sources
PubMed1984

[Microbiologic findings in vaginal discharges].

Microbiological examinations were performed in 247 women complaining of vaginal discharge. An average of 3.9 different organisms was isolated from each patient. Gardnerella vaginalis was found in 62.8% of all women. Candida spp. were seen in 22.7%. Trichomonas vaginalis occurred in 6.5%, Neisseria gonorrhoeae in 1.2%, Chlamydia trachomatis in 10.1%, Mycoplasmata in 13.8%, Cytomegalovirus in 2.8%, and Herpes simplex Type 2-virus in 1.1%. None of the above was found in 17.4% of the patients. Statistic evaluation revealed correlation between different pathogens and between pathogens and normal vaginal bacteria, e.g. a higher prevalence of Trichomonas vaginalis, Mycoplasmata and Bacteroides spp. in association with Gardnerella vaginalis, and a lower prevalence of Candida spp. and lactobacilli. A pathogenic role of the Mycoplasmata in connection with vaginal discharge cannot be supported by this study. The results of antimicrobial therapy are reported and discussed.

Adult↗
PubMed1995

Vaginal discharge. How to pinpoint the cause.

Vaginal discharge is a common symptom of genital infection in women. Identifying its source can be challenging, because a large number of pathogens cause vaginal and cervical infection, and several infections may coexist. Patient history and physical examination findings may suggest a diagnosis. Useful tests for etiologic diagnosis include pH analysis of vaginal fluid, the "whiff" test, wet mount examination, culture, and Gram's stain. Once the source of infection has been identified, the patient can be treated, usually with oral antibiotics, oral antifungals, or topical vaginal preparations.

Anti-Infective Agents↗
PubMed1991

Ectopic ureter: a rare cause of purulent vaginal discharge.

We report two cases in which urologic anomalies presented with vaginal discharge and fever in young women, aged 9 and 18 years. Both patients were ultimately diagnosed as having duplicated collecting systems with ectopic upper-pole ureters opening into the introitus. Although congenital urologic anomalies are a rare cause of vaginal discharge in young women, they should be included in the differential diagnosis of patients presenting with these symptoms.

Adolescent↗
PubMed1996

Cavernous lymphangioma presenting as a vaginal discharge in a six-year-old female: a case report.

STUDY OBJECTIVE: This case report is written to describe a new and unusual presentation of retroperitoneal cavernous lymphangioma. INTERVENTIONS: A large cystic abdominal mass was discovered during an examination under anesthesia to evaluate a vaginal discharge in a 6-year-old girl. The mass was diagnosed by computed tomography (CT) and removed via laparotomy with argon beam coagulation of smaller cystic lesions. RESULTS: Six months postoperatively, the patient had a negligible amount of vaginal discharge. CONCLUSIONS: Cavernous lymphangioma should be considered as a rare cause of vaginal discharge in young females.

Biopsy↗
PubMed1997

Primary chylous vaginal discharge in a 9-year-old girl: CT-lymphangiogram and MR appearance.

Chylous reflux is a manifestation of primary or secondary lymphatic obstruction. Primary lymphatic obstruction is defined as lymphangiectasia and incompetency of lymphatic valves without an underlying cause. Lymphangiectasia resulting from trauma, neoplasm, irradiation, or inflammation characterizes secondary lymphatic obstruction. Leakage of chyle into the uterus, vagina, bladder, or rectum can occur with either primary or secondary lymphatic obstruction. We report a patient with chylous vaginal discharge, a rare presentation of primary chylous reflux syndrome. CT-lymphangiography and magnetic resonance imaging clearly depicted this disorder. To our knowledge, only 20 cases of chylous vaginal discharge have been reported previously; chylous vaginal drainage occurred in the absence of chylous uterine reflux in only three. Although this is a rare anomaly, chylous reflux should be considered in a child with chronic vaginal discharge and lower extremity swelling.

Child↗
PubMed1991

Microbiological study of vaginal discharge associated with the use of CuT 200.

A microbiological study of the vaginal discharge was conducted on 75 women attending family planning outdoors. In 24 out of 25 symptomatic CuT 200 users suffering from non-specific vaginitis, Gardnerella vaginalis was isolated from 19 cases (79%). The difference in the recovery rate of Gardnerella vaginalis was highly significant between symptomatic CuT 200 users and non-users (p less than 0.001) and that between symptomatic and asymptomatic CuT 200 users (p less than 0.05). But the difference between asymptomatic CuT 200 users and non-users was not statistically significant. The presence of clue cells on direct Gram's staining of vaginal discharge is significantly (p less than 0.05) related to the recovery of Gardnerella vaginalis on culture.

Animals↗
PubMed1984

Chemical studies of hamster vaginal discharge: male behavioral responses to a high molecular weight fraction require physical contact.

This report describes the isolation and behavioral testing in normal male hamsters of a high molecular weight fraction (HMF) of vaginal discharge which accounts for much of the aphrodisiac activity in the discharge. The HMF encompasses a group of proteins which elute as a relatively narrow, major peak upon agarose gel filtration of estrous vaginal discharge. The crude fraction from gel filtration retains a variety of volatiles including sulfur-containing compounds which we have previously found to account for much of the initial attraction of males to the female but which do not, themselves, facilitate overt copulatory behavior. Procedures for markedly reducing the presence of such volatiles to yield the HMF are described. In behavioral assays using anesthetized males as surrogate females, scenting the hindquarters of the surrogates with the HMF elicits intense genital investigation by experimental males, although this effect on investigatory behavior is not as dramatic as that of the unfractionated vaginal discharge. Like the unfractionated discharge, the HMF significantly increases the incidence of intromission attempts toward scented surrogates. To assess whether physical contact with the HMF is required for behavioral activity, as would be expected if the active material is proteinaceous, series of preference tests were performed using vanillin as a competing stimulus under conditions in which physical contact with the stimuli either was possible or was prevented. The unfractionated discharge was preferred in both conditions, whereas significant preferences for the HMF were exhibited only if it could be contacted by the snout of experimental males. The active material in the HMF thus appears to be of extremely low volatility, at least prior to physical contact with it by the male.

Animals↗
PubMed1991

Direct Gram's stain of vaginal discharge as a means of diagnosing bacterial vaginosis.

The diagnosis of bacterial vaginosis (BV) by direct gram-stained smear of vaginal discharge was evaluated in 90 consecutive patients. Vaginal secretions from 20 healthy female volunteers were also examined. All specimens were examined by culture for growth of Gardnerella vaginalis and Lactobacillus spp. Only 35 (38.9%) of the patients with vaginal discharge satisfied the clinical diagnosis of BV. The vaginal gram-stained smear from all these 35 patients contained typical gardnerella morphotypes characteristic of BV and G. vaginalis was isolated from all of them as well as from a further 10 patients who did not satisfy the criteria for diagnosis of BV. The semi-quantitative assessment of gardnerella morphotypes was found to correlate positively with the semi-quantitative assessment of G. vaginalis growth by culture (p less than 0.0001). There was a strong inverse relationship between the quantity of lactobacillus and gardnerella morphotypes. Direct gram-staining of smears should facilitate the diagnosis of BV for clinicians with minimum need for confirmation by culture, particularly in a third world setting with few or no laboratory facilities.

Female↗
PubMed2004

Abnormal vaginal discharge: what does and does not work in treating underlying causes.

Antifungal medications for intravaginal use have been available in the United States for more than a decade. Women may be inclined to self-diagnose yeast infections with any vaginal discharge or other vulvovaginal symptoms that they deem abnormal. As we saw in the first part of this article, "Abnormal vaginal discharge: Using office diagnostic testing more effectively" (J Fam Pract 2004; 53[10]:805-814), abnormal discharge is more likely to be bacterial vaginosis or no pathogen at all. Potential delay in diagnosis and treatment of a sexually transmitted disease is also a concern. Increasing resistance of Candida sp. to imidazoles is associated with indiscriminate use of over-the-counter products.

Anti-Bacterial Agents↗
PubMed1989

Investigation and treatment of vaginal discharge and pruritus vulvae.

The causes of vaginal discharge for pruritus vulvae in a patient are considered in three categories: common causes like vaginal candidosis, Trichomonal vaginitis, Gardnerella vaginitis; less common causes like gonococcal infection, Chlamydia infection and T-mycoplasma infection; and uncommon causes which include allergy to nylon underwear, human papilloma infection and eczema. The clinical features of each and a suggested treatment regime are given.

Candidiasis, Vulvovaginal↗
PubMed1975

Treatment of vaginal discharge with yoghurt.

A preliminary trial was conducted, using yoghurt to assess its potential for the management of vaginal discharge. The results were encouraging in non-specific vaginal discharge and warrant further investigation. The treatment was ineffective in reducing Trichomonas vaginalis infestation, and in this condition no further investigation is warranted.

Dairy Products↗
PubMed1976

Chloride ion concentration in vaginal discharge and urine during puberty.

In 27 prepubertal-pubertal girls the chloride ion concentration in vaginal discharge and urine was estimated four times during the menstrual cycle by means of a direct new micromethod using a Cl-selective electrode. In pubertal girls the chloride content showed changes both in vaginal discharge and in urine; the latter changed practically parallel with the vaginal value. A sharp rise in chloride content characteristic of normal ovulation was observed in 5 patients free from hormonal disturbances, while there were significant differences during ovulation 5 times and in the premenstrual phase 6 times in the girls with hormonal disturbances.

Adolescent↗
PubMed2004

Isolated vasculitis of the cervix presenting as vaginal discharge.

A 44-year-old woman previously in excellent health presented with clear vaginal discharge. Pelvic examination revealed a friable cervix that showed small-vessel necrotizing vasculitis on cone biopsy. She had no clinical evidence of systemic vasculitis or any connective tissue disease. Laboratory findings of inflammation (raised erythrocyte sedimentation rate and thrombocytosis) returned to normal after the cone biopsy. She has been symptom-free for over 2 years after the cone biopsy and a subsequent hysterectomy that failed to reveal uterine vasculitis. Localized vasculitis of the cervix can present as vaginal discharge or menorrhagia without evidence of vasculitis elsewhere and does not require systemic therapy.

Journal Article↗
PubMed1999

Diagnosis of symptomatic and asymptomatic Trichomonas vaginalis infection by applying one tube nested PCR to vaginal discharge.

One tube nested-PCR targeting a species-specific Tv-E650 repeat family of T. vaginalis genome, was applied to vaginal discharge specimen to diagnose symptomatic and asymptomatic trichomoniasis. The test was compared with axenic culture examination, wet mount preparation and Papanicolaou stained smears. Four-hundred and fifty cases symptomatic and symptomatic were collected over two years. Out of 290 symptomatic women with cervicovaginitis and 160 asymptomatic women, 35 were culture positive for trichomoniasis. All culture positive specimens were PCR-positive giving a single product at 290 bp by agarose gel electrophoresis and recording 100% sensitivity, similar to culture examination. Among the 35 culture positive specimens, 12 were positive by wet mount and 21 were positive by Pap smear giving a 34.2% and 60% sensitivity, respectively. The standard and boiling DNA extraction methods were equally reliable but the latter was more simple, rapid and cheap. No specimens negative by PCR for trichomoniasis were positive by culture, wet mount or Pap smear. Moreover, specimens from cases with cervicovaginitis of non-trichomonal origin were negative by PCR. All samples of extracted DNA of T. vaginalis from positive culture tubes, used as positive controls, were also PCR positive at the expected product in gel, while no PCR product was detected with the negative DNA control including Chylamidia trachomatis and human DNA. It was found that the one-tube nested-PCR targeting the Tv-E650 repeat family of T. vaginalis is a simple, rapid sensitive and specific accurate method for diagnosis of symptomatic and asymptomatic vaginal trichomoniasis when applied to vaginal discharge.

Adolescent↗
PubMed1997

Genital shedding of human immunodeficiency virus type 1 DNA during pregnancy: association with immunosuppression, abnormal cervical or vaginal discharge, and severe vitamin A deficiency.

The presence of human immunodeficiency virus type 1 (HIV-1) in genital secretions may be a determinant of vertical HIV-1 transmission. Cervical and vaginal secretions from HIV-1-seropositive pregnant women were evaluated to determine prevalence and correlates of HIV-1-infected cells in the genital tract. HIV-1 DNA was detected by polymerase chain reaction in 32% of 212 cervical and 10% of 215 vaginal specimens. Presence of HIV-1 DNA in the cervix was associated with cervical mucopus and a significantly lower absolute CD4 cell count (354 vs. 469, P < .001). An absolute CD4 cell count <200 was associated with a 9.6-fold increased odds of cervical HIV-1 DNA detection compared with a count > or = 500 (95% confidence interval, 2.8-34.2). Detection of vaginal HIV- 1 DNA was associated with abnormal vaginal discharge, lower absolute CD4 cell count, and severe vitamin A deficiency. Presence of HIV-1-infected cells in genital secretions was associated with immunosuppression and abnormal cervical or vaginal discharge.

Adolescent↗
PubMed2003

Evaluation of a new rapid diagnostic kit (FemExam) for bacterial vaginosis in patients with vaginal discharge syndrome in The Gambia.

BACKGROUND: Diagnosis of bacterial vaginosis (BV) in resource-poor primary health care settings is often overlooked; there is a need for a cheap, rapid, objective point-of-care diagnostic test. GOAL: The goal was to determine the prevalence of BV and to evaluate the performance of a new commercial diagnostic test kit in a developing country environment. STUDY DESIGN: Vaginal and cervical swabs were collected from 230 consecutive women attending a genitourinary medicine clinic with reported symptoms of vaginal discharge and/or itching. Etiological testing was carried out. BV was diagnosed on the basis of the Nugent score, the Amsel clinical criteria, and results of FemExam card tests. Card 1 is for pH and amines, and card 2 measures proline iminopeptidase (PIP) activity. RESULTS: BV prevalence was 47.9% according to the Nugent score. When compared with the Nugent score, the Amsel clinical criteria had a sensitivity of 77.9% and specificity of 58.4%, FemExam card 1 had a sensitivity of 71.4% and specificity of 72.8%, FemExam card 2 had a sensitivity of 70% and specificity of 81.0%, and FemExam cards 1 and 2 combined had a sensitivity of 91.0% and specificity of 61.5%. Cost per patient and cost per true case detected ranged from US $0.74 and US $1.54, respectively, for Gram stain diagnosis, to US $8.32 and US $18.49 for the FemExam two-card method. CONCLUSIONS: In a setting where BV was frequently associated with vaginal discharge, the FemExam test compared favorably with conventional clinical diagnosis, and it has the advantage of being rapid, less subjective, and easily performed. Cutting its cost would provide wider accessibility in developing countries.

Adolescent↗