Case 343

Medical history

The patient is a 55 y/o female, married, sexually active, G4P4A0, with a yellowish and slightly malodorous vaginal discharge for the last 5 months, associated with vaginal pruritus. Last menstrual period was one month ago. In use of an intrauterine device. On gynecological exam, there is vulvar erythema, discreetly atrophic and hyperemic vaginal mucosa, and an abundant yellowish vaginal discharge. Schiller’s test was performed (image 1).


Based on the image and the clinical history, what is the most likely diagnosis?

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