By David G. Wagner, MD and Rana S. Hoda, MD, FIAC
Department of Pathology and Microbiology, University of Nebraska Medical Center, 983135 Nebraska Medical Center, Omaha, Nebraska

&  Department of Pathology & Laboratory Medicine, New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY, U.S.A

CLINICAL HISTORY:
The patient was a 17-year-old gravida 0, para 0 Caucasian woman with no significant past medical history.  She smoked one pack per month and did not abuse drugs or alcohol.  Her only medication was an oral contraceptive that was started six months prior to presentation.  The patient had no prior history of cervical dysplasia and had two previous negative annual Pap tests.  The patient began her menses at the age of 15 and according to the clinical history provided, had a monogomous sexual relationship.  Over the span of three months, the patient complained of a clear vaginal discharge that increased in amount before it developed a putrid odor which prompted her to consult a physician.  A ThinPrep pap test was performed.

Fig 1A	Fig 1B
Fig 1C	Fig.1D

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