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[Trichomoniasis in the newborn (author's transl)]
Padiatrie Und Padologie
|January 1, 1977
Summary
Trichomonas vaginalis infection was diagnosed in two newborn girls, with symptoms including vulvovaginitis and urinary tract infections. Maternal infection and hormonal influences are discussed as contributing factors.
Area of Science:
- Pediatrics
- Infectious Diseases
- Microbiology
Background:
- Neonatal infections pose significant health risks.
- Trichomoniasis, caused by Trichomonas vaginalis, is typically sexually transmitted in adults.
Observation:
- Two cases of Trichomonas vaginalis infection were identified in 948 newborn infants (0.21%) over 21 months.
- Symptoms included leukocyturia, vulvovaginitis, and concurrent bacterial urinary tract infections.
- Both infants' mothers had vulvovaginal trichomoniasis.
Findings:
- Trichomonas vaginalis was detected in routine urine specimens from both neonates.
- Urinary tract infections were incompletely controlled with antibiotics alone.
- A 5-day oral metronidazole course resolved symptoms and healed urinary tract infections in both infants.
Implications:
- Maternal Trichomonas vaginalis infection can be transmitted to newborns.
- Hormonal influences on the infantile vaginal epithelium may facilitate neonatal trichomoniasis.
- Early diagnosis and appropriate treatment, such as metronidazole, are crucial for neonatal outcomes.