Fusobacterium endocarditis treated with metronidazole.

Metronidazole resistant trichomoniasis successfully treated with paromomycin.

Management of a 42 year old female patient diagnosed with trichomoniasis is described. She failed to respond to recommended oral and high dose oral and topical metronidazole. Various options used in previously reported cases of metronidazole resistant trichomoniasis also failed to cure her condition. MIC showed the organism to be resistant to metronidazole. Cure was achieved with the use of top...

Fusobacterium necrophorum causing infective endocarditis and liver and splenic abscesses.

A 25-year-old male without prior co-morbidities was admitted to hospital with Fusobacterium necrophorum bacteremia, where he was found to have liver and splenic abscesses. Further evaluation with echocardiography revealed a bicuspid aortic valve with severe insufficiency and a 1.68 x 0.86 cm vegetation. The patient required abscess drainage, intravenous antimicrobial therapy and aortic valve re...

"Moraxella lacunata" endocarditis treated with penicillin.

The case report of a young male with Endocarditis caused by Moraxella lacunata is presented. Although a well recognized cause of keratitis, conjunctivitis, and sinusitis; very few cases of endocarditis by this rare pathogen are reported in literature. Patient showed a prompt response when empirical therapy was de-escalated to penicillin, after receiving culture and sensitivity report from Micro...

Actinomyces muris endocarditis treated. with chloramphenicol.

Trichomonal vaginitis treated with one dose of metronidazole.

Since its introduction in France, metronidazole (Flagyl) has become the standard treatment for trichomonal vaginitis (Durel, Roiron, Siboulet, and Borel, 1959). The course recommended at that time and continued ever since was 200 mg. three times daily for 7 days, giving a cure rate of 85 to 98 per cent. (Csonka, 1963; Evans and Catterall, 1970; Keighley, 1971). We have investigated the possibil...