1/52. Potentiation of warfarin's hypoprothrombinemic effect with miconazole vaginal suppositories. A 53-year-old woman being treated for a vaginal yeast infection experienced ecchymosis. Laboratory evaluation revealed a prolonged prothrombin time. It is possible that the bleeding was due to an interaction between warfarin and miconazole. health care professionals should be aware of the potential for drug interactions with vaginally administered miconazole, especially in women receiving anticoagulation therapy. ( info) |
2/52. Foreign body in vagina--an uncommon cause of vaginitis in children. An intravaginal foreign body of long duration can pose diagnostic dilemma in children. We present a case of eight and a half years old girl who was suffering from blood stained vaginal discharge for 3 years for which she was treated by few gynaecologists. A vaginal examination performed under general anaesthesia revealed a foreign body (lead pencil). In cases of pediatric vaginitis one should always look for foreign body in vagina. ( info) |
3/52. Cervicovaginitis emphysematosa mimicking carcinoma of the cervix: a case report. Cervicovaginitis emphysematous is a rare self-limiting disease in which multiple gas-filled cysts are present in the submucosa of the upper vagina and ectocervix. We report a case in a 40 year-old trader who presented with clinical features suggestive of carcinoma of the cervix. It is hoped that this case report will heighten the awareness of clinicians and pathologists in the recognition of this unusual condition. ( info) |
4/52. Transient eosinophilic pneumonia secondary to use of a vaginal cream. Various drugs have been implicated in the development of transient eosinophilic pneumonia or Loeffler's syndrome. We present such a case occurring in a woman who had been using a sulfanilamide-containing vaginal cream. ( info) |
5/52. Vaginitis emphysematosa: CT and review of the literature. OBJECTIVE: This report describes the CT appearance of vaginitis emphysematosa. CONCLUSION: Vaginitis emphysematosa is characterized by gas-filled cysts in the vaginal wall, in a pattern similar to pneumatosis of the intestines or bladder. This bacterial vaginitis is benign and self-limited and does not signify the presence of tissue necrosis or life-threatening infection. ( info) |
6/52. Vaginal mucormycosis: a case report. Although Zygomycetes cause life-threatening, opportunistic infections in immunocompromised hosts, the first case of vaginitis caused by Mucor species in a healthy woman is reported. Mucor vaginitis, which caused mild symptoms only, was refractory to conventional azole therapy and resistant to flucytosine. Cure was achieved with topical amphotericin b. ( info) |
7/52. Vaginitis emphysematosa associated with an abnormal Pap smear. Vaginitis emphysematosa is an uncommon inflammatory condition that is aetiologically linked to trichomonal or gardnerella infection, and has been associated with immunosuppressive disorders. The disease does not have deleterious sequelae and resolves on treating the underlying infection. We describe a case in which the disease predominantly affected the cervix leading to an abnormal pap smear and colposcopic investigation. ( info) |
| Vaginitis is the most frequently gynecologic diagnosis encountered by physicians who provide primary care to women. Accurate diagnosis can be elusive, complicating treatment. Most experts believe that up to 90% of vaginitis cases are secondary to bacterial vaginosis, vulvo-vaginal candidiasis, and trichomoniasis. The diagnosis of vaginitis is based on the patient's symptoms, the physical examination, the findings of microscopic examination of the wetmount and potassium hydroxide (KOH) preparations, and the results of the pH litmus test. Additional cultures and testing may be needed for difficult-to-diagnose cases. ( info) |
| atrophic vaginitis is typically associated with the hypoestrogenic state of menopause. However, lactation also decreases estrogen levels and can cause symptomatic urogenital atrophy. Discussion of this clinical phenomenon in the literature is minimal. A case report of atrophic vaginitis at 13 months postpartum is presented. Mechanisms of action, evaluation, and treatments for lactational atrophic vaginitis are reviewed with recommendations for further research on this topic. ( info) |
10/52. paecilomyces lilacinus vaginitis in an immuno-competent patient. paecilomyces lilacinus, an environmental mold found in soil and vegetation, rarely causes human infection. We report the first case of P. lilacinus isolated from a vaginal culture in a patient with vaginitis. ( info) |