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Symptoms in women may include a vaginal discharge which may be associated with vulval irritation and most infections can be effectively treated with metronidazole 500mg bd for seven days. Trichomoniasis unresponsive to 5-nitroimidazole therapy is uncommon but results in substantial therapeutic challenges, especially in resource limited countries. We present such a case which was eventually treated with a low-cost intravaginal combination of boric acid and clotrimazole cream.<\/jats:p>","DOI":"10.1177\/00494755221131370","type":"journal-article","created":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T08:48:28Z","timestamp":1665391708000},"page":"143-145","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Trichomoniasis refractory to 5-nitroimidazole therapy in Trinidad"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4392-8998","authenticated-orcid":false,"given":"Robert Jeffrey","family":"Edwards","sequence":"first","affiliation":[{"name":"Medical Research Foundation of Trinidad and Tobago, Port of Spain, Trinidad"},{"name":"Department of Paraclinical Sciences, University of the West Indies, St Augustine, Trinidad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Parboo","sequence":"additional","affiliation":[{"name":"Medical Research Foundation of Trinidad and Tobago, Port of Spain, Trinidad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Edwards","sequence":"additional","affiliation":[{"name":"Medical Research Foundation of Trinidad and Tobago, Port of Spain, Trinidad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory","family":"Boyce","sequence":"additional","affiliation":[{"name":"Medical Research Foundation of Trinidad and Tobago, Port of Spain, Trinidad"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,10,9]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-197503000-00008"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.17.4.783-793.2004"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-198007000-00010"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-199707000-00008"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16774"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-199301000-00015"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid0706.010603"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.18.228486"},{"key":"e_1_3_3_10_2","volume-title":"Prevalence and incidence of selected sexually transmitted infections, Chlamydia trachomatis, Neisseria gonorrhoeae, syphilis, and Trichomonas vaginalis: methods and results used by the WHO to generate 2005 estimates","author":"World Health Organization","year":"2011","unstructured":"World Health Organization. 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