2017
DOI: 10.1093/cid/cix908
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Trichomonas vaginalis Brain Abscess in a Neonate

Abstract: We describe a case of cerebral trichomoniasis in a neonate in whom seizures and multiorgan failure developed during treatment for staphylococcal sepsis. Brain abscesses were identified with cranial sonography, and Trichomonas vaginalis was isolated from cerebrospinal fluid samples. The patient died despite metronidazole therapy.

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Cited by 12 publications
(8 citation statements)
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“…T. vaginalis infections out of the genitourinary tract are very rare, but a few cases have been described, including a central nervous infection in a premature neonate, leading to death [61].…”
Section: Complicationsmentioning
confidence: 99%
“…T. vaginalis infections out of the genitourinary tract are very rare, but a few cases have been described, including a central nervous infection in a premature neonate, leading to death [61].…”
Section: Complicationsmentioning
confidence: 99%
“…Symptomatic female patients may undergo discomfort, dysuria, cervicitis, and vaginitis, associated with unusual vaginal discharge with foul-smell and possible infertility [7,8]. In pregnant women, T. vaginalis infection may lead to preterm labor, abnormal infant weight and, if left untreated, the baby is most likely contracts live trichomonas form the infected mother [9]. Considerate investigation of the mechanism of immune response of host to T. vaginalis infection is essential for better understanding the infection strategy, early diagnosis, and treatment of the disease [10].…”
Section: Introductionmentioning
confidence: 99%
“…Typically, neonates born to infected mothers are asymptomatic, but may weigh less or experience self-limiting vaginitis with severe vaginal discharge ( 35 ), because the parasite is usually seen in the vaginal areas of neonates (8 and 9). Sometimes, vaginitis in the newborns of mothers with vaginitis caused by T. vaginalis require antimicrobial treatment ( 26 ). Presence of infection in areas other than urogenital area are generally uncommon ( 18 ), but rare cases of the parasite have been reported in other areas such as lungs, cerebrospinal fluid, perinephric abscess, and brain abscess ( 12 , 14 , 26 ).…”
Section: Discussionmentioning
confidence: 99%