Doctors at Louisiana State
University (LSU) Health Sciences Center report discovering Mnola, a previously
unknown mycoplasma bacterium that is associated with trichomonas vaginalis
(trichomonas). Trichomonas is a common sexually transmitted infection that is
associated with pre-term delivery and increases the risk of HIV infection in
women. Women with both trichomonas and mycoplasma bacterial communities have
worse disease than other women who have only trichomonas, according to Dr.
David H. Martin, professor and chief of infectious diseases at LSU’s Health
Sciences Center. Martin believes the added presence of mycoplasma Mnola makes
the risk of HIV higher than infection with trichomonas alone.
Another bacterium, mycoplasma
hominis, has long been associated with trichomonas. The discovery of Mnola
suggested the need to reexamine the relationship of vaginal mycoplasma bacteria
communities with trichomonas.
Whereas the researchers once thought
that the presence of vaginal bacterial colonies predisposed women to infection
with trichomonas, the team now believes that trichomonas is responsible for the
appearance of mycoplasma-dominated bacterial communities. Martin theorizes that
trichomonas actually “cultivates” Mnola and mycoplasma hominis because the
mycoplasma communities somehow benefit the parasite. Future research will focus
on how Mnola interacts with trichomonas and whether trichomonas is responsible for
the appearance of the vaginal bacterial colonies.
Vaginal discharge and redness of the
vaginal wall can be symptoms of infection, but some women are asymptomatic.
Martin stated that women can be tested for the parasite and bacterial
infections in a doctor’s office.
The full report, “Unique Vaginal
Microbiota Which Include an Unknown Mycoplasma-like Organism Are Associated
with Trichomonas Vaginalis Infection,” was published online in the Journal of
Infectious Diseases (2013; doi: 10.1093/infdis/jit100).
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