University of Miami Miller School of Medicine, Miami, Florida, USA
Obstetrics & Gynecology, University of Miami Miller School of Medicine, Miami, Florida, USA.
BMJ Case Rep. 2022 Aug 29;15(8):e251303. doi: 10.1136/bcr-2022-251303.
vulvovaginitis is an uncommon aetiology of prepubertal vaginal bleeding that should be considered in the differential diagnosis, especially in patients who have travelled to developing countries. A young girl presented with prepubertal vaginal bleeding, pelvic pain, occasional dysuria and no gastrointestinal symptoms. After a year-long extensive workup, including vaginoscopy and biopsy, genital culture and Gram stain revealed vulvovaginitis due to After review of bacterial sensitivity, the patient was given a 30-day course of sulfamethoxazole-trimethoprim. The patient returned to the clinic 1 month later with no signs of vaginal bleeding, discharge or pelvic pain. This case prompted review of the indicated evaluation and differential diagnosis of prepubertal vaginal bleeding, including infectious aetiologies such as vulvovaginitis with the authors' goal to expedite diagnosis and treatment in paediatric patients.
外阴阴道炎是一种少见的青春期前阴道出血病因，应在鉴别诊断中考虑，特别是在有前往发展中国家旅行史的患者中。一位年轻女孩出现青春期前阴道出血、盆腔痛、偶尔尿痛和无胃肠道症状。经过长达一年的广泛检查，包括阴道镜检查和活检、生殖器培养和革兰氏染色，发现外阴阴道炎是由 引起的。回顾细菌敏感性后，患者给予磺胺甲噁唑-甲氧苄啶 30 天疗程。1 个月后患者返回诊所，无阴道出血、分泌物或盆腔痛迹象。该病例促使作者回顾了青春期前阴道出血的指示性评估和鉴别诊断，包括感染性病因，如 外阴阴道炎，旨在为儿科患者加速诊断和治疗。
