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October 25, 1976

A Trichomonas Species in a Mixed Microbial Meningitis

Author Affiliations

From the Division of Infectious Disease, Department of Medicine, New York Hospital (Dr Masur); Cornell University Medical College (Mr Hook); and the Infectious Disease Service, the Department of Medicine, Memorial Sloan-Kettering Cancer Center (Dr Armstrong), New York.

JAMA. 1976;236(17):1978-1979. doi:10.1001/jama.1976.03270180054025

TRICHOMONADS are rarely demonstrated outside of the gastrointestinal or lower genitourinary tracts.1-3 To our knowledge, the following case is the first report of a Trichomonas species isolated from the cerebrospinal fluid in a patient with meningitis.

Report of a Case  A 69-year-old man, formerly in good health, noted dysphagia in June 1975. In August 1975, he was referred to Memorial Sloan-Kettering Cancer Center, where findings from a physical examination were unremarkable. Laboratory examination included a hematocrit reading of 39% and a leukocyte count of 6,300/cu mm. Other laboratory tests were normal.Endoscopy showed an epidermoid carcinoma of the distal third of the esophagus. After a total dose of 2,000 rads of cobalt 60 to the anterior and posterior distal esophagus, the patient underwent exploration by thoracoabdominal approach on Aug 12. An infiltrating epidermoid carcinoma was resected with creation of an esophagogastrostomy. A splenectomy and distal pancreatectomy were also performed.