1/3. magnetic resonance imaging in the evaluation of vaginal foreign bodies in a young girl.A 7-year-old girl with foul-smelling, bloody vaginal discharge for more than 2 years was initially suspected of suffering from vaginal foreign bodies. Although plain radiography revealed no abnormal findings in the pelvis, magnetic resonance imaging (MRI) showed multiple low intensity objects and an intact vaginal wall. Four plastic toys were removed with forceps under general anesthesia. MRI is supposed to be the best technique for evaluating vaginal foreign bodies in young girls.- - - - - - - - - - ranking = 1keywords = vaginal discharge, discharge (Clic here for more details about this article) |
2/3. Chronic vulvovaginitis caused by antibiotic-resistant shigella flexneri in a prepubertal child.A 7-year 8-month-old girl was diagnosed with a prolonged course of vulvovaginitis caused by shigella flexneri. The child was symptomatic with intermittent vaginal bleeding, dysuria and foul smelling vaginal discharge for a 3-year period. Initial attempts to resolve the infection with successive courses of antibiotic therapy using ampicillin, trimethoprim-sulfamethoxazole, cefixime and amoxicillin/clavulanic acid failed. The child's infection was finally resolved by a 14-day course of ciprofloxacin.- - - - - - - - - - ranking = 1keywords = vaginal discharge, discharge (Clic here for more details about this article) |
3/3. Childhood vulvovaginitis: report of two cases.vaginal discharge in young prepubertal girls is a common problem in clinical practice. No specific infective pathogen is identified in most of the children. The reported common microbes include group A beta-hemolytic streptococci, haemophilus influenzae and some Gram-negative bacilli. Sexually transmitted pathogens such as neisseria gonorrhoeae and chlamydia trachomatis are important causes of vulvovaginitis in children suffering from sexual abuse. We report two cases of prepubertal vulvovaginitis presenting with profuse purulent vaginal discharge, and H. influenzae and N. gonorrhoeae identified respectively. Both girls denied any sexual exposure and there was no evidence of sexual abuse. They responded well to antibiotic treatment, and no symptoms recurred in the following months. We would like to emphasize the defined etiology of childhood vulvovaginitis and appropriate treatment, in addition to gynecological evaluation for evidence of sexual abuse.- - - - - - - - - - ranking = 1.0006601097415keywords = vaginal discharge, discharge (Clic here for more details about this article) |