RESUMO
Amoebic trophozoites were identified in the cervicovaginal smear of a U.S. patient without travel history at the time of intrauterine device (IUD) removal. Subsequent morphologic analysis and DNA sequencing identified a mixed cervicovaginal colonization of the female genital tract with both Entamoeba gingivalis and Entamoeba polecki in association with Actinomyces species bacteria. This highlights to the potential for colonization of the genital tract with E. gingivalis, particularly in association with IUD placement, and represents the first report of E. polecki in this context.
Assuntos
Actinomyces/genética , Actinomicose/diagnóstico , Entamoeba/genética , Entamebíase/diagnóstico , Dispositivos Intrauterinos , Actinomyces/classificação , Actinomyces/isolamento & purificação , Actinomicose/parasitologia , Colo do Útero/microbiologia , Colo do Útero/parasitologia , Coinfecção , Entamoeba/classificação , Entamoeba/isolamento & purificação , Entamebíase/parasitologia , Feminino , Humanos , Dispositivos Intrauterinos/microbiologia , Dispositivos Intrauterinos/parasitologia , Teste de Papanicolaou , Vagina/microbiologia , Vagina/parasitologia , Adulto JovemRESUMO
To detect the association between the use of an intrauterine contraceptive device (IUCD) and the presence of Trichomonas vaginalis (Tv), vaginal smears of 1110 women were examined cytologically. Among 45 IUCD users, 10 women were positive for Tv (22.22%). Forty six of 1065 non-users were also positive for Tv (4.32%). There was a significant correlation between the use of IUCD and the presence of Tv (p < 0.05). The data also indicated that the prolonged use (> or = 3 years) of copper-IUCD may promote the growth of Tv in the vaginal mucosa. This result will be a clue to diagnose asymptomatic patients for Tv.