Image Based Question-66729

A middle aged female complained about milky discharge with fishy odor. Microscopic examination of vaginal discharge shows these cells as seen in picture. What is she suffering from

A. Bacterial vaginosis

B. Herpes virus

C. Syphilis

D. Toxoplasmosis

Correct Answer » A Explanation

These cells are clue cells

Criteria for bacterial vaginosis:

• Elevated vaginal pH (>4.5)

• Positive amine odor when vaginal fluid is mixed with 10% potassium hydroxide (KOH)—the so-called“whiff” test

• Presence of clue cells (squamous epithelial cells covered with adherent bacteria) in a saline (wet mount) preparation of the vaginal fluid

• Homogenous milky or creamy vaginal discharge