RESUMO
BACKGROUND: Trichomonas vaginalis infection is associated with increased risks of adverse pregnancy outcome. Perinatal transmission of T vaginalis from an infected, untreated, pregnant woman to her female neonate can occur. CASE: A 22-year-old woman, gravida 3, para 2, with untreated trichomoniasis had an uncomplicated spontaneous vaginal delivery of a healthy female infant. At day of life 19 the newborn was diagnosed and treated for trichomoniasis. No evidence was found consistent with child sexual abuse. CONCLUSION: Perinatal transmission of T vaginalis occurs rarely. Neonatal infection has medical and psychosocial implications. This outcome, albeit rare, should be a consideration in the decision regarding antenatal treatment of T vaginalis infection.
Assuntos
Antitricômonas/uso terapêutico , Transmissão Vertical de Doenças Infecciosas , Complicações Parasitárias na Gravidez/diagnóstico , Vaginite por Trichomonas/transmissão , Trichomonas vaginalis/isolamento & purificação , Adulto , Animais , Feminino , Humanos , Recém-Nascido , Gravidez , Vaginite por Trichomonas/congênito , Vaginite por Trichomonas/tratamento farmacológicoRESUMO
Clinical infection with Trichomonas vaginalis (T. vaginalis) in the neonate is an unusual occurrence. We present a case of T. vaginalis in a 2-week-old girl with vaginal discharge. Our patient had complete resolution of symptoms after treatment with metronidazole. We found few references in the medical literature on the treatment of this condition. This report discusses the pathogenesis and treatment of T. vaginalis in the neonate.
