Medical Microbiology

Table 1 2. 3 Continued:UrogenitalTract

Infection Mostimportant

pathogens

Laboratorydiagnosis

Listeriosis

(pregnancy)

Listeriamonocytogenes Microscopyandculturefrom

cervicalandvaginalsecretion,

lochia.Bloodcultureifrequired

Schistosomosisof

theurinarytract

Schistosomahaematobium Microscopyofurinesediment;

serology

Vulvovaginitis Herpessimplexvirus Isolationorantigendetection

insecretion

Candidaspp. Microscopy,cultureifrequired

Trichomonasvaginalis Microscopy(native).Submit

twoslideswithair-driedsecre-

tion(forGiemsastainingor

immunofluorescence),culture

fromvaginalsecretion

Nonspecificvaginitis

(vaginosis)

Severalbacterialspp.often

contributetoinfection:

Gardnerellavaginalis

Mycoplasmahominis

Mobiluncusmulieri

Mobiluncuscurtisii

Gram-negativeanaerobes

Attemptmicroscopyand

cultureofvaginalsecretion.

Lookfor“cluecells”in

microscopy.Interpretationof

manyfindingsisproblematic

becausethebacteriaarepart

ofthenormalflora

Cervicitis

Endometritis

Oophoritis

Salpingitis

Pelveoperitonitis

Neisseriagonorrheae

Chlamydiatrachomatis

Mixedanaerobicflora

Lessfrequently:

Enterobacteriaceae

Streptococcusspp.

Gardnerellavaginalis

Mycoplasmahominis

Mycobacteriumtuberculosis

Microscopyandculturefrom

swabmaterial.Usetransport

mediums.Fordetectionof

chlamydiae:directIFmicro-

scopy,EIAantigendetection,

cellcultureorPCR.PCRkit

availabletodetectgonococci

simultaneously.

636 12 EtiologicalandLaboratoryDiagnosticSummariesinTabularForm

12

Kayser, Medical Microbiology © 2005 Thieme