A 25-Year-Old Woman Comes to the Physician Because of a 4-Day

A 25-year-old woman comes to the physician because of a 4-day history of vaginal discharge. She has no pain or pruritus. Menses occur at regular 27-day intervals and last 5 days. Her last menstrual period was 2 weeks ago. She is sexually active with two male partners and uses a diaphragm for contraception. She had a normal Pap smear 3 months ago. She has no history of serious illness and takes no medications. Her temperature is 37.3°C (99°F) , pulse is 75/min, and blood pressure is 115/75 mm Hg. Pelvic examination shows malodorous, gray vaginal discharge. The pH of the discharge is 5.0. Which of the following would most likely be seen on wet mount microscopy?

A) Epithelial cells covered with bacteria
B) Epithelial cells with rare leukocytes
C) Gram-negative intracellular diplococci
D) Leukocytes and pear-shaped organisms
E) Pseudohyphae with leukocytes