Granuloma Inguinale

Calymmatobacterium granulomatis infection is treated with ampicillin or co-trimoxazole or a tetracycline for 2 weeks.

BACTERIAL VAGINOSIS (BACTERIAL VAGINITIS.ANAEROBIC VAGINOSIS)

Bacterial vaginosis is a common form of vaginal discharge in which neither Trichomonas vaginalis nor Candida albicans can be isolated and inflammatory cells are not present. There is evidence to associate the condition with overgrowth of several normal commensals of the vagina including Gardnerella vaginalis, Gram-negative curved bacilli, and anaerobic organisms, especially of the Bacteroides genus, the latter being responsible for the characteristic fishy odour of the vaginal discharge. The condition responds well to a single 2 g oral dose of metro-

nidazole, with topical clindamycin offering an alternative.

Candida vaginitis: see page 263.

Trichomonas vaginitis: see page 234.

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