A 26 years old patient c/o foul smelling greyish white discharge diagnosed to be Gardnerella vaginalis infection. Microscopic finding is suggestive of?
Group of bacilli arranged in chain forms
Bacteria found to be engulfed by macrophages
Bacteria adherent to lining vaginal epithelial cells
Bacteria arranged in cluster forms
Ans C. Bacteria adherent to lining vaginal epithelial cellsGardnerella vaginalis, facultatively anaerobic gram-variable rod, is one of the organisms responsible for bacterial vaginosis (BV).The vaginal discharge of BV is characteristically described as a thin, gray, homogeneous fluid that is adherent to the vaginal mucosa. A fishy vaginal odour, which is paicularly noticeable following coitusis present.Demonstration of clue cells on a saline smear is the most specific criterion for diagnosing BV.The whiff test may be positive in up to 70% of BV patients.The vaginal discharge of patients with BV is notable for its lack of polymorphonuclear leukocytes (PMNs), typically 1 or less than 1 PMN per vaginal epithelial cell.