Archives of Biotechnology and Biomedicine Open Access
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001
ISSN
2639-6777
Abstract
Trichomonas vaginalis could be seen in Pap smears where it is reported, but because
main concerned is placed on malignant cells in Pap smears, not much effort is done to search
for this parasite in smears. In this study, 100 cervical and vaginal specimens were examined
microscopically by the conventional Papanicolaou method and liquid base cytology (LBC) for the
presence of Trichomonas vaginalis (T.vaginalis). 16% were infected with T.vaginalis while 10%
of diagnosis based on both perinuclear halo and T. vaginalis presence although the association
between perinuclear halo and T, vaginalis is statistically insignificant it is recommended to increase
the number of the cases to prove or disprove the association.
Research Article
Perinuclear halo indicate Trichomonas
vaginalis in Pap smear
Howaida Mahmoud Hagag
1,2
, Yosra Hussein Alam-Eldin
3
,
Mahmoud Khalifa Mahmoud
4
, Khadiga Ahmed Ismail
1.3
*,
Amany Mamdouh Abdulaziz
5
, Ahmed Mahmoud Khalifa
6
and
Osama Mahmoud Khalifa
7
1
Laboratory Medicine Department, Faculty of Applied Medical Sciences, Taif University, Taif,
Saudi Arabia
2
Pathology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
3
Medical Parasitology Department, Faculty of Medicine Ain Shams University, Cairo, Egypt
4
Consaltant of Dermatology and Venereology King Faisal specialized Hospital, Taif, Saudi Arabia
5
Pathology Department, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt
6
Forensic and Toxicology Department Faculty of Medicine, Ain-Shams University, Cairo, Egypt
7
Faculty of Medicine, Ain-Shams University, Cairo, Egypt
*Address for Correspondence: Khadiga Ahmed
Ismail, Laboratory Medicine Department,
Faculty of Applied Medical Sciences,
Taif University, Taif, Saudi Arabia, Tel:
009660507921103; Email:
khadigaahmed68@yahoo.com
Submitted: 06 December 2018
Approved: 10 January 2019
Published: 11 January 2019
Copyright: © 2019 Hagag HM, et al. This is
an open access article distributed under the
Creative Commons Attribution License, which
permits unrestricted use, distribution, and
reproduction in any medium, provided the
original work is properly cited
Keywords: Papanicolaou smears; Trichomonas
vaginalis; Microscopy
How to cite this article: Hagag HM, Alam-Eldin YH, Mahmoud MK, Ismail KA, Abdulaziz AM, et al.
Perinuclear halo indicate Trichomonas vaginalis in Pap smear. Arch Biotechnol Biomed. 2019; 3: 001-
005. https://doi.org/10.29328/journal.abb.1001013
Introduction
Trichomoniasis is one of the most common sexually transmitted infections (STIs)
but it has received little attention and has been trivialized. Despite being a readily
diagnosed and treatable sexually transmitted disease (STD). World Health Organization
estimated that there were 276.4 million cases in 2008 and nearly 90 % of these
infections occurred among people living in resource-limited settings [1].
Presumably, prevalence of infection with trichomoniasis is not a reportable
infection, and control of the infection has received relatively little emphasis from
public health STD control programs, however, appreciation of the high rates of disease
and of associations of trichomoniasis in women with adverse outcomes of pregnancy
and increased risk for human immunodeϐiciency virus HIV infection suggest a need for
increased control efforts [2].
In Islamic countries, the prevalence of trichomoniasis ranges from 1.2% in Libya
and Jordanto 3.2% in Turkeyto 28.1% in Saudi Arabia [3].
Trichomoniasis is more common in women than men because men have
asymptomatic infections. For women, the symptoms are thin frothy, green-yellow
vaginal discharge, vulvovaginal irritation, vaginal soreness, and redness of the vagina,
women also have a higher prevalence of invasive cervical cancer when they have
trichomoniasis [4].