The presence of the budding cells with pseudo hyphae indicates a fungal infection with Candida. Candidal (monilial) vaginitis is common; this organism is present in about 5% to 10% of women. Recurrent episodes of vaginal candidiasis may be associated with non-albicans species. The inflammation tends to be superficial, and there is typically no invasion of underlying tissues. Urea plasma is a bacterial agent, as is Chlamydia, and both can produce cervicitis. Neisseria gonorrhoeae, a gram-negative diplococcus, is the causative agent of gonorrhea. Infection with Trichomonas vaginalis can produce a purulent vaginal discharge, but the organisms are protozoa and do not produce hyphae.