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Resistant trichomoniasis: successful treatment with combination therapy.

Abstract
Metronidazole-resistant vaginal trichomoniasis remains a major therapeutic challenge. Two women with symptomatic metronidazole-resistant trichomoniasis had multiple unsuccessful courses of therapy with a broad array of medications. Both patients finally responded to combination treatment with intravaginal paromomycin cream and high-dose oral tinidazole.
AuthorsPaul Nyirjesy, Jeffrey Gilbert, Laura J Mulcahy
JournalSexually transmitted diseases (Sex Transm Dis) Vol. 38 Issue 10 Pg. 962-3 (Oct 2011) ISSN: 1537-4521 [Electronic] United States
PMID21934573 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Antiprotozoal Agents
  • Antitrichomonal Agents
  • Tinidazole
  • Metronidazole
  • Paromomycin
Topics
  • Administration, Intravaginal
  • Administration, Oral
  • Adult
  • Antiprotozoal Agents (pharmacology, therapeutic use)
  • Antitrichomonal Agents (administration & dosage, therapeutic use)
  • Combined Modality Therapy
  • Drug Resistance, Multiple
  • Female
  • Humans
  • Male
  • Metronidazole (pharmacology, therapeutic use)
  • Middle Aged
  • Paromomycin (administration & dosage, therapeutic use)
  • Sexual Partners
  • Tinidazole (administration & dosage, therapeutic use)
  • Treatment Outcome
  • Trichomonas Vaginitis (diagnosis, drug therapy, parasitology)
  • Trichomonas vaginalis (drug effects, isolation & purification)

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