4.5Amine ("fishy") odor with 10%' KOHNoneNoneMay be presentPresentMicroscopy*Normal epithelial cells; lactobacilli predominantLeukocytes, epithelial cells; mycelia or pseudomycelia in up to 80% of C. albicans culture- positive persons with typical symptomsLeukocytes; motile trichomonads seen in 80--90% of symptomatic patients, less often in the absence of symptomsClue cells; few leukocytes; no lactobacilli or only a few outnumbered by profuse mixed flora, nearly always including G. vaginalis plus anaerobic species on Gram's stain (Nugent's score =7)Other laboratory findings Isolation of Candida spp.Isolation of T. vaginalis or positive NAATd Usual treatmentNoneAzole cream, tablet, or suppository--e.g., miconazole 100-mg vaginal suppository or clotrimazole 100-mg vaginal tablet, once daily for 7 daysFluconazole, 150 mg orally (single dose)Metronidazole or tinidazole, 2 g orally (single dose)Metronidazole, 500 mg PO bid for 7 daysMetronidazole, 500 mgPO bid for 7 daysClindamycin, 2% cream one full applicator vaginally each night for 7 daysUsual management of sexual partnerNoneNone; topical treatment if candida dermatitis of penis is detectedExamination for STD; treatment with metronidazole, 2 g PO (single dose)Examination for STD; no treatment if normal">