Suriyanon V, Nelson K E, Choomsai na Ayudhya V
Am J Trop Med Hyg. 1975 Sep;24(5):776-80. doi: 10.4269/ajtmh.1975.24.776.
A patient with chronic vulvo-vaginitis due to Trichomonas vaginalis, and obstructive uropathy associated with renal calculi, developed a perinephric abscess following trauma incurred in a motorcycle accident. T. vaginalis was seen on smear and cultured from the purulent drainage from the perinephric abscess. Although T. vaginalis is commonly pathogenic only to the lower genito-urinary system, the upper urinary tract may very rarely be involved by ascending infection. If this protozoan spreads to extraluminal sites the inflammatory potential is marked, as has been found in animals with experimental infection. Examination of a fresh smear of pus may be critically important in the diagnosis of closed-space infections of unknown etiology.
一名因阴道毛滴虫感染导致慢性外阴阴道炎且伴有与肾结石相关的梗阻性尿路病的患者，在一次摩托车事故中受伤后发生了肾周脓肿。在肾周脓肿的脓性引流物涂片及培养物中发现了阴道毛滴虫。虽然阴道毛滴虫通常仅对下泌尿生殖系统致病，但上尿路极少可能因上行感染而受累。如果这种原生动物扩散到管腔外部位，其炎症潜能显著，正如在实验感染动物中所发现的那样。对新鲜脓液涂片进行检查对于诊断病因不明的密闭空间感染可能至关重要。
