Question

A sexually active female with the profuse frothy foul-smelling discharge with intense itching. Strawberry cervix revealed on examination. What will be the diagnosis ?

• A. Trichomonas vaginalis
• B. Bacterial vaginosis
• C. Candidiasis
• D. None

Answer 1

The Correct Option is A

In the scenario described, the key symptoms and examination findings strongly suggest the diagnosis of Trichomonas vaginalis infection. Let's analyze the information provided:

• Profuse frothy foul-smelling discharge: This is a classic symptom associated with Trichomonas vaginalis infection. Unlike other vaginal infections, the discharge in Trichomoniasis is often described as frothy and has a distinctly unpleasant odor.
• Intense itching: Vaginal itching can be a symptom of several infections, including Trichomoniasis, Candidiasis, and Bacterial vaginosis. However, when combined with other symptoms, it helps narrow down the possibilities.
• Strawberry cervix: This term refers to a clinical finding where the cervix appears red and inflamed with punctate hemorrhages or petechiae, resembling a strawberry. It is highly characteristic of Trichomoniasis and not typically seen with other vaginal infections such as Bacterial vaginosis or Candidiasis.

Considering these clinical features, Trichomonas vaginalis infection is the most likely diagnosis based on the presentation described.