Answer: The same pathogen must be present in every case of the disease.
Explanation: Koch's postulates are a set of criteria used to establish a causal relationship between a specific microorganism and a disease. However, when it comes to bacterial vaginosis caused by Gardnerella vaginalis, the first postulate may not be applicable. Bacterial vaginosis is a condition that can involve multiple microorganisms, and it is not solely caused by Gardnerella vaginalis alone. Therefore, the presence of Gardnerella vaginalis in every case of the disease may not hold true, making it difficult to apply the first postulate in this case.