A 33 year old lady complains of a slight vaginal discharge with a fishy odor, which is noticeable after sexual intercourse. There is no itching, dysuria, abdominal pain or fever. She has had a new sexual partner for the last four months, who is asymptomatic. Her medical and gynecological histories are unremarkable.
The cultures are positive.
The wet mount shows squamous epithelial cells with a granular appearance (clue cells) and a stippled cell border. Polymorphonuclear leukocytes are significantly reduced.
Negative for both gonococcus and chlamydia.
The cultures are negative