Natural History of Trichomonal Infection in Males
1963; BMJ; Volume: 39; Issue: 4 Linguagem: Inglês
10.1136/sti.39.4.251
ISSN1472-3263
Autores Tópico(s)Herpesvirus Infections and Treatments
ResumoTrichomonal vaginitis was first described by Donne (1836) but it was not until the end of the 19th century that the responsible organism was first demonstrated in males, almost simultaneous reports coming from Marchand (1894), Miura (1894), and Dock (1896).The natural history, pathology, and epidemiology of trichomonal infestation has aroused recurring interest and Trussell (1947) was able to cite 1,586 references.Subsequent to the first reports of trichomoniasis in males, various observers reported isolated instances from time to time, but it was not until comparatively recently that systematic investigation of various groups of males was undertaken in an attempt to learn more of its nature and incidence.Thus, Allison (1943), using a wet smear technique, was able to demonstrate the organism in 15 per cent. of a random sample of males, and Whittington (1957), in a sample of males attending the Whitechapel Clinic, found T. vaginalis in 12 -5 per cent. of those who were white and 28 * 4 per cent. of those who were coloured.Investigation of groups suffering, or thought to be suffering, from venereal disease was carried out also.Results have varied widely from those of Ackermann (1935), who found no trichomonads in any of a group of 37 cases of non-gonococcal urethritis, to those of Coutts and his colleagues (1955), who found trichomonads in 68 per cent. of a series of 2,482 Chileans suffering from non-gonococcal urethritis.Intermediate figures have been reported by Lanceley (1953)-5 -8 per cent., Whittington (1957)-15 -3 per cent., Nicol (1958)-5i5 per cent., and Catterall (1960) 5 -5 percent.The relationship of trichomonal infection to concomitant gonorrhoea in men was investigated by Lanceley (1953), who found it in two out of 285 cases, and by Whittington (1957), who found it in five out of thirty.
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