Vulvovaginitis in prepubertal girls: the importance of group A Streptococcus.

Abstract:

:We report four cases of group A streptococcal vulvovaginitis in prepubertal children. All cases were acute in onset. This illness presents with nonspecific signs and symptoms of labial inflammation. In a suburban community, streptococcal vulvovaginitis in prepubescent girls may be more common then genital infections due to Neisseria gonorrhoeae. Since media used for the selective isolation of N gonorrhoeae do not readily support the growth of streptococci, we suggest that the routine bacteriologic approach to the diagnosis of vulvovaginitis in young girls include inoculation of the culture swab on 5% sheep blood agar and the application of a bacitracin disk (taxo A disc) to detect any small beta-hemolytic, presumptively group A streptococcal colonies after overnight incubation. Penicillin therapy results in prompt cure.

journal_name

South Med J

journal_title

Southern medical journal

authors

Schwartz RH,Wientzen RL,Barsanti RG

doi

10.1097/00007611-198204000-00017

subject

Has Abstract

pub_date

1982-04-01 00:00:00

pages

446-7

issue

4

eissn

0038-4348

issn

1541-8243

journal_volume

75

pub_type

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