ABSTRACT
We report a case of an extremely-low-birth-weight premature infant with Trichomonas vaginalis infection of the vagina and urinary tract. Her mother is also infected with Trichomonas vaginalis but is asymptomatic. The patient's illness started as an asymptomatic pyuria and later on at early infancy developed profuse malodorous vaginal discharge. Her vaginal discharge was positive for Trichomonas vaginalis, both on wet mount and Papanicolaou smear, and the infection responded well to treatment with metronidazole. Infants with recurrent vaginal discharge presenting beyond the neonatal period may be attributed to T. vaginalis infection.
Subject(s)
Trichomonas Infections/parasitology , Trichomonas Vaginitis/parasitology , Trichomonas vaginalis/isolation & purification , Adult , Animals , Antitrichomonal Agents/therapeutic use , Female , Humans , Infant , Infant, Newborn , Infant, Very Low Birth Weight , Infectious Disease Transmission, Vertical , Metronidazole/therapeutic use , Treatment Outcome , Trichomonas Infections/drug therapy , Trichomonas Infections/transmission , Trichomonas Vaginitis/drug therapy , Trichomonas vaginalis/drug effects , Vaginal Discharge/drug therapy , Vaginal Discharge/parasitologyABSTRACT
Polythelia and polymastia usually occur along the embryonic milk lines extending from the axilla to the groin. Polymastia in female patients has been reported to manifest during pregnancy or lactation. We report a 14-year-old adolescent with axillary supernumerary breasts. She had painful axillary swelling during menstrual period. The mass in the right axilla was excised with pathologic report of supernumerary breasts with fibrocystic change. When a mass is located along the milk line, the possibility of the presence of breast tissue should be considered.
