In a previous study1 the normal smegma, particularly about the clitoris, was found to harbor spirochetes, together with fusiform bacilli in twenty-one of thirty-six women (58 per cent.). Spirochetes have been observed by others (Csillage2 and Rona3) in normal women, but fusiform bacilli were described with the spiral forms only in ulcerative conditions of the vulva. Our observations have revealed that bacilli as well as spirochetes are to be considered normal inhabitants of the external genitalia. Associated with these organisms are invariably pyogenic bacteria, such as staphylococci, streptococci, colon bacilli, diphtheroids and others.
In the present study, the distribution of these organisms in the vaginal tract and in certain pathologic conditions was noted. For the demonstration of these organisms, 5 per cent. carbol fuchsin and the Fontana method of staining spirochetes were employed. Smears were made from various parts of the vaginal tract of fifty-four women, chiefly
PILOT I, KANTER AE. STUDIES OF FUSIFORM BACILLI AND SPIROCHETESXI. FURTHER OBSERVATIONS ON THEIR DISTRIBUTION ABOUT THE GENITALIA OF NORMAL WOMEN AND THEIR SIGNIFICANCE IN CERTAIN GENITAL INFECTIONS AND TUMORS. Arch Derm Syphilol. 1924;10(5):561–564. doi:10.1001/archderm.1924.02360290026005