Małyszko E, Januszko T
Zakładu Higieny Instytutu Medycyny Społecznej AM w Białymstoku.
Pol Tyg Lek. 1991;46(50-52):997-9.
An infection with T. vaginalis in male patients is difficult to diagnose in case of latent or asymptomatic trichomoniasis. This infection is caused by the round forms of T. vaginalis, which are significantly more frequent in male patients, than trophozoites. Trichomonas vaginalis round forms called pseudocyst due to their specific biological properties are difficult to observe with actually used techniques. It was shown, that round forms of T. vaginalis may be detected by Giemsa modified technique and modified survival technique employing acridine orange. Therefore routine diagnosis of trichomoniasis included direct examination of the discharge from urethra, cultures and survival technique employing acridine orange. In the problematic cases, especially in male patients with the latent or asymptomatic trichomoniasis, full range of methods should be used to examine specimen collected from the each part of the urinary tract.
对于男性患者,若感染阴道毛滴虫处于潜伏或无症状的滴虫病状态,则难以诊断。这种感染是由阴道毛滴虫的圆形形态引起的,在男性患者中,圆形形态比滋养体更为常见。阴道毛滴虫的圆形形态因其特殊生物学特性被称为假囊肿,使用现有的技术很难观察到。研究表明,改良吉姆萨技术和使用吖啶橙的改良存活技术可检测到阴道毛滴虫的圆形形态。因此,滴虫病的常规诊断包括对尿道分泌物进行直接检查、培养以及使用吖啶橙的存活技术。在疑难病例中,尤其是患有潜伏或无症状滴虫病的男性患者,应采用全套方法检查从尿路各部位采集的标本。