青春期前复发性阴蒂周围脓肿：一例报告
Premenarchal recurrent periclitoral abscess: a case report.
作者信息
Lara-Torre Eduardo, Hertweck S Paige, Kives Sari L, Perlman Sally
机构信息
Division of Pediatric and Adolescent Gynecology, Department of Obstetrics, Gynecology and Women's Health, University of Louisville Medical School, Louisville, Kentucky, USA.
出版信息
J Reprod Med. 2004 Dec;49(12):983-5.
BACKGROUND
Periclitoral abscesses in premenarchal girls is a serious condition and can have negative implications for future reproductive health. Recurrent periclitoral abscess in premenarchal girls is rare.
CASE
An 11-year-old, premenarchal girl presented complaining of dysuria, vulvar swelling, pain and erythema of the clitoral hood and a similar episode 12 months previously. Intravenous antibiotics and local measures resulted in spontaneous drainage of the abscess. On day 3 the area was healing, and the patient was discharged on oral antibiotics and sitz baths. At her 6-month follow-up, she had a normal clitoral hood without tenderness or erythema.
CONCLUSION
Broad-spectrum antibiotics and local measures may prevent surgical treatment and potential associated reproductive morbidity.
背景
青春期前女孩的阴蒂周围脓肿是一种严重病症，可能对未来生殖健康产生负面影响。青春期前女孩复发性阴蒂周围脓肿较为罕见。
病例
一名11岁青春期前女孩前来就诊，主诉排尿困难、外阴肿胀、疼痛以及阴蒂包皮红斑，且12个月前有过类似发作。静脉注射抗生素及局部处理后脓肿自行引流。第3天时创面正在愈合，患者出院，口服抗生素并坐浴。在6个月的随访中，她的阴蒂包皮正常，无压痛或红斑。
结论
广谱抗生素及局部处理可能避免手术治疗及潜在的相关生殖系统疾病。
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