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<p class="ql-align-justify">The smears are of adequate cellularity, displaying superficial and intermediate squamous cells amid a dense inflammatory exudate of neutrophils and mucus. Numerous cells exhibit koilocytosis—marked by nuclear enlargement and perinuclear halos—diagnostic of Low-Grade Squamous Intraepithelial Lesion (LSIL) and possible HPV cytopathic effect. The background reveals a polymicrobial infection, including elongated pseudohyphae and budding yeast morphologically consistent with Monilia (Candida), alongside a shift in bacterial flora. This shift is evidenced by coccobacilli obscuring cell borders as clue cells, characteristic of Bacterial Vaginosis. These findings collectively confirm a diagnosis of LSIL with concurrent fungal and bacterial cervicitis.</p>
<p>Vaginal pap smear</p>
<p>Three unstained smears labeled as vaginal wall were submitted and pap stained.</p>
<p><strong><em><u>Cervical Cytology (Conventional Smear)</u></em></strong></p><ul><li class="ql-align-justify"><strong>Low-Grade Squamous Intraepithelial Lesion (LSIL) </strong></li><li class="ql-align-justify"><strong>Fungal organisms morphologically consistent with Candida species (Monilia).</strong></li><li class="ql-align-justify"><strong>Bacterial flora shift suggestive of Bacterial Vaginosis.</strong></li><li class="ql-align-justify"><strong>Acute Inflammation/Cervicitis.</strong></li></ul><p class="ql-align-justify"><br></p><p class="ql-align-justify"><strong><u>Comment</u></strong></p><h5 class="ql-align-justify">Clinical correlation is recommended to address the underlying infections, and follow-up should be managed according to established guidelines for LSIL, which may include HPV co-testing or colposcopy.</h5>
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