Bacterial and Mycotic Components of Trichomonas vaginalis vaginitis

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Abstract
An attempt has been made to relate statistically the presence of fungi and various types of bacteria in trichomonal infections. A total of 199 pregnant and nonpregnant women has been studied. Pregnancy seems to be associated with a grade of flora "lower" than that found with nonpregnant women with trichomonal vaginitis. Contrary to the findings of some investigators, the combination of trichomonads and Candida was seen quite frequently. Even when only one organism was apparent clinically, the other organism was often present by culture. This was especially true in pregnancy when in approximately one-half of the cases the other microorganism was found by culture. Fecal streptococci, both hemolytic and non-hemolytic, and staphylococci were cultured more frequently in pregnant women than in nonpregnant women with trichomonal vaginitis. In pregnancy, lactobacilli were cultured in two-thirds, enteric rods in slightly more than one-quarter and staphylococci in somewhat less than half of all women, for all types of infection (trichomonal, candidal, trichomonal-candidal combined). Streptococci were cultured in one-third of the women with candidal infection; the incidence was almost twice as high in trichomonal and in mixed trichomonal-candidal infections. Strict anaerobes, Hemophilus sp. and other types of organisms were detected rather infrequently.

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