Bacterial vaginosis differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
Bacterial vaginosis must be differentiated from other diseases that cause purulent, malodorous, thin vaginal discharge with elevatedvaginal PH (<4.5) such as [[trichomoniasis]], [[atrophic vaginitis]], and desquamative inflammatory vaginitis. | Bacterial vaginosis must be differentiated from other diseases that cause purulent, malodorous, thin vaginal discharge with elevatedvaginal PH (<4.5) such as [[trichomoniasis]], [[atrophic vaginitis]], and desquamative inflammatory vaginitis. Additionally bacterial vaginosis also must be differentiated other conditions such as from [[candidiasis|vaginal candidiasis]], [[vaginitis]] and [[cervicitis]].<ref name=CDC-BV> Centers for Disease Control and Prevention. 2015 Sexually Transmitted Diseases Treatment Guidelines. Bacterial Vaginosis. http://www.cdc.gov/std/tg2015/bv.htm Accessed on October 13, 2016 </ref><ref name="pmid10839558">{{cite journal| author=Bachmann GA, Nevadunsky NS| title=Diagnosis and treatment of atrophic vaginitis. | journal=Am Fam Physician | year= 2000 | volume= 61 | issue= 10 | pages= 3090-6 | pmid=10839558 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10839558 }} </ref><ref name="pmid2448502">{{cite journal| author=Krieger JN, Tam MR, Stevens CE, Nielsen IO, Hale J, Kiviat NB et al.| title=Diagnosis of trichomoniasis. Comparison of conventional wet-mount examination with cytologic studies, cultures, and monoclonal antibody staining of direct specimens. | journal=JAMA | year= 1988 | volume= 259 | issue= 8 | pages= 1223-7 | pmid=2448502 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2448502 }} </ref><ref name="pmid21422855">{{cite journal| author=Sobel JD, Reichman O, Misra D, Yoo W| title=Prognosis and treatment of desquamative inflammatory vaginitis. | journal=Obstet Gynecol | year= 2011 | volume= 117 | issue= 4 | pages= 850-5 | pmid=21422855 | doi=10.1097/AOG.0b013e3182117c9e | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21422855 }} </ref><ref name="pmid9794664">{{cite journal| author=Eckert LO, Hawes SE, Stevens CE, Koutsky LA, Eschenbach DA, Holmes KK| title=Vulvovaginal candidiasis: clinical manifestations, risk factors, management algorithm. | journal=Obstet Gynecol | year= 1998 | volume= 92 | issue= 5 | pages= 757-65 | pmid=9794664 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9794664 }} </ref> | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Bacterial vaginosis diagnosis is unlikely In the absence of following findings: | Bacterial vaginosis diagnosis is unlikely In the absence of following findings: | ||
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*presence of [[Candida]] on wet mount (adding 10% KOH destroys the cellular elements and facilitates recognition of budding yeast, pseudohyphae, and hyphae) | *presence of [[Candida]] on wet mount (adding 10% KOH destroys the cellular elements and facilitates recognition of budding yeast, pseudohyphae, and hyphae) | ||
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Additionally bacterial vaginosis also must be differentiated other conditions such as from [[candidiasis|vaginal candidiasis]], [[vaginitis]] and [[cervicitis]].<ref name=CDC-BV> Centers for Disease Control and Prevention. 2015 Sexually Transmitted Diseases Treatment Guidelines. Bacterial Vaginosis. http://www.cdc.gov/std/tg2015/bv.htm Accessed on October 13, 2016 </ref> | |||
==References== | ==References== | ||
Revision as of 16:55, 13 October 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]
Overview
Bacterial vaginosis must be differentiated from other diseases that cause purulent, malodorous, thin vaginal discharge with elevatedvaginal PH (<4.5) such as trichomoniasis, atrophic vaginitis, and desquamative inflammatory vaginitis. Additionally bacterial vaginosis also must be differentiated other conditions such as from vaginal candidiasis, vaginitis and cervicitis.[1][2][3][4][5]
Differential Diagnosis
Bacterial vaginosis diagnosis is unlikely In the absence of following findings:
- Fishy odor (negative whiff test)
- Normal vaginal PH (<4.5)
- Presents of dysuria
- signs of inflammation in vagina
Bacterial vaginosis must be differentiated from:[1][2][3][4][5]
| Disease | Findings |
|---|---|
| Trichomoniasis |
|
| Atrophic vaginitis |
|
| Desquamative inflammatory vaginitis |
|
| vaginal candidiasis |
|
Additionally bacterial vaginosis also must be differentiated other conditions such as from vaginal candidiasis, vaginitis and cervicitis.[1]
References
- ↑ 1.0 1.1 1.2 Centers for Disease Control and Prevention. 2015 Sexually Transmitted Diseases Treatment Guidelines. Bacterial Vaginosis. http://www.cdc.gov/std/tg2015/bv.htm Accessed on October 13, 2016
- ↑ 2.0 2.1 Bachmann GA, Nevadunsky NS (2000). "Diagnosis and treatment of atrophic vaginitis". Am Fam Physician. 61 (10): 3090–6. PMID 10839558.
- ↑ 3.0 3.1 Krieger JN, Tam MR, Stevens CE, Nielsen IO, Hale J, Kiviat NB; et al. (1988). "Diagnosis of trichomoniasis. Comparison of conventional wet-mount examination with cytologic studies, cultures, and monoclonal antibody staining of direct specimens". JAMA. 259 (8): 1223–7. PMID 2448502.
- ↑ 4.0 4.1 Sobel JD, Reichman O, Misra D, Yoo W (2011). "Prognosis and treatment of desquamative inflammatory vaginitis". Obstet Gynecol. 117 (4): 850–5. doi:10.1097/AOG.0b013e3182117c9e. PMID 21422855.
- ↑ 5.0 5.1 Eckert LO, Hawes SE, Stevens CE, Koutsky LA, Eschenbach DA, Holmes KK (1998). "Vulvovaginal candidiasis: clinical manifestations, risk factors, management algorithm". Obstet Gynecol. 92 (5): 757–65. PMID 9794664.