Nonvenereal Transmission of Gonococcal Vaginitis

PEDIATRICS ◽  
1978 ◽  
Vol 61 (1) ◽  
pp. 144-145
Author(s):  
Hania W. Ris
Keyword(s):  
Young Children ◽  
Neisseria Gonorrhoeae ◽  
Vaginal Discharge ◽  
Etiological Factor ◽  
Etiological Agent ◽  
Prepubertal Girl ◽  
Prepubertal Girls

I read with great interest the timely article by Drs. Auman and Waldenberg, "Gonococcal Periappendicitis and Salpingitis in a Prepubertal Girl" (Pediatrics 58:287, August 1976), which deals with the important problem of Neisseria gonorrhoeae as an etiological factor of vaginitis and its complications in a 5-year-old girl. Vaginal discharge and penile discharge in young children, irrespective of age, should be cultured in appropriate media for N. gonorrhoeae in addition to those for other organisms. According to Kotcher et al.,1 the gonococcus was the only significant bacterial etiological agent in 57 cases of vulvovaginitis in prepubertal girls.

Vulvovaginitis in Premenarcheal Girls: Clinical Features and Diagnostic Evaluation

PEDIATRICS ◽  
1982 ◽  
Vol 70 (2) ◽  
pp. 193-198 ◽  
Author(s):  
Jan E. Paradise ◽  
Joseph M. Campos ◽  
Harvey M. Friedman ◽  
Gertrude Frishmuth
Keyword(s):  
Chlamydia Trachomatis ◽  
Trichomonas Vaginalis ◽  
Vaginal Discharge ◽  
Matched Control ◽  
Convincing Evidence ◽  
Control Group ◽  
Common Cause ◽  
Matched Control Group ◽  
Vaginal Secretions ◽  
Prepubertal Girls

Fifty-four premenarcheal patients (median age 5.8 years) with symptoms or signs of vulvovaginitis were studied, and the results of cultures of vaginal secretions were compared with those from an age-matched control group. Vaginal discharge was found on examination in 24 of 42 patients with a complaint of discharge, and in two of 12 patients without a complaint of discharge. Convincing evidence of bacterial or monilial infection was found in 14 of the 26 patients with discharge on examination, but in none of the 28 patients without discharge (P < .001). In the latter group pinworm infestation was present in one patient. Moniliasis occurred exclusively in girls who were pubertal (P < .001). Four patients were found to have gonorrhea. No patient appeared to have symptoms or signs caused by Bacteroides sp, Chlamydia trachomatis, viruses, or Trichomonas vaginalis. Noninfectious causes were identified in four patients with and 13 without discharge (P < .025); the most common cause was poor hygiene, implicated in six patients. Bubble bath use was implicated in only one patient. In 22 patients, no specific cause could be identified. All patients with poor hygiene as the only cause, and most with no demonstrable etiology, recovered after being advised to institute improved perineal hygiene. Patients with vaginal discharge are likely to have specific infections, and therefore cultures should be taken, in particular for Neisseria gonorrhoeae. Genital pruritus in prepubertal girls has little or no etiologic specificity, but in pubertal girls with vaginal discharge it suggests the presence of monilial vaginitis.

scholarly journals Bladder Papilloma As A Rare Cause Of Urogenital Bleeding In A Prepubertal Girl

2021 ◽  
pp. 77-79
Author(s):  
Selim Kurtoğlu ◽  
Mustafa Armut ◽  
Figen Öztürk
Keyword(s):  
Foreign Bodies ◽  
Relevant Literature ◽  
Urethral Prolapse ◽  
Lichen Sclerosis ◽  
Labial Fusion ◽  
Prepubertal Girl ◽  
Urinary Infections ◽  
Prepubertal Girls

There are different causes of urogenital bleeding in prepubertal girls. These include vulvovaginitis, urinary infections, urethral prolapse, urethral caruncle, vaginal foreign bodies, hormonal causes, tumors, posterior labial fusion, lichen sclerosis. Among the tumors, rhabdomyosarcoma and papilloma are prominent. In this article, a case of urogenital hemorrhage due to papilloma located at the base of the bladder was presented and the relevant literature was reviewed

Gonococcal Periappendicitis and Salpingitis in a Prepubertal Girl

PEDIATRICS ◽  
1976 ◽  
Vol 58 (2) ◽  
pp. 287-288
Author(s):  
George L. Auman ◽  
Leopold M. Waldenberg
Keyword(s):  
Infectious Disease ◽  
United States ◽  
Blood Pressure ◽  
Abdominal Pain ◽  
Case Report ◽  
Vaginal Discharge ◽  
Vital Signs ◽  
The United States ◽  
Prepubertal Girl ◽  
History Of

Gonorrhea is the most frequently reported infectious disease in the United States. Salpingitis and periappendicitis secondary to vaginal gonorrhea are not unusual in the mature woman, but are rare in the prepubertal girl. We are reporting a case of vaginal gonorrhea, acute salpingitis, and periappendicitis in a 5-year-old girl. CASE REPORT An acutely ill 5-year-old girl with a two-week history of a thick, nonpruritic vaginal discharge and an 18-hour history of fever, vomiting, and severe abdominal pain was admitted for evaluation. There was a negative history of dysuria, constipation, diarrhea, introduction of vaginal foreign body, coitus, and molestation. Vital signs on admission were: temperature, 39.7 C orally; pulse, 120 beats per minute; respiration, 36 breaths per minute; and blood pressure 100/60.

scholarly journals Prevalence of Infection with Neisseria Gonorrhoeae or Chlamydia Trachomatis in Acute Mucopurulent Cervicitis

2009 ◽  
Vol 60 (2) ◽  
pp. 197-203 ◽  
Author(s):  
Boris Ujević ◽  
Jasna Habek ◽  
Dubravko Habek
Keyword(s):  
Chlamydia Trachomatis ◽  
Neisseria Gonorrhoeae ◽  
Chlamydial Infection ◽  
Vaginal Discharge ◽  
Pap Smear ◽  
Inflammatory Diseases ◽  
Antimicrobial Treatment ◽  
Gram Staining ◽  
Number Of Sexual Partners ◽  
Mechanical Devices

Prevalence of Infection with Neisseria Gonorrhoeae or Chlamydia Trachomatis in Acute Mucopurulent CervicitisThe aim of this study was to determine the incidence of N. gonorrhoae (NG) and/or C. trachomatis (CT) in acute mucopurulent cervicitis (MPC). The study included 617 non-pregnant women with MPC, who had not been receiving any antimicrobial treatment. The average age of patients was 22.2 years. There were no statistically significant differences according to place of residence, education, and marital status. Samples for laboratory analysis were collected using a routine procedure; NG was identified using the cytochrome oxidase test and Gram staining. CT was isolated on McCoy cell culture and stained with Lugol solution.NG was isolated in three women (0.8%) and CT in 58 women (9.4%). Fifty-six of the CT-positive patients were nullipara and only two were unipara. All NG-positive patients were also nullipara. The mean number of sexual partners was 2.2 in all study subjects, 2.4 in CT-positive subjects, and 2.9 in NG-positive subjects. Vaginal discharge purity according to Schröder was significantly deteriorated in CT-positive patients (p=0.011). When asked about the use of contraceptives, as many as 32.7% patients answered that they did not use any protection, 39% women used the rhythm method and coitus interruptus, 20% were taking oral contraceptives, 6.1% used mechanical devices, and 1.9% used chemical protection. Previous acute and chronic pelvic inflammatory diseases correlated with MPC (p>0.01).Our statistical analysis suggests that chlamydial infection significantly reduces the purity of vaginal discharge, which is more pronounced in nulliparae. Pap smear was not specific enough to demonstrate chlamydial infection. In view of the MPC findings, the prevalence of CT and NG infection is low.

scholarly journals VAGINITIS GONORE PADA ANAK

2014 ◽  
Vol 6 (2) ◽  
Author(s):  
Judith Kapari ◽  
Herry E. J. Pandaleke
Keyword(s):  
Single Dose ◽  
Neisseria Gonorrhoeae ◽  
Suspected Case ◽  
Polymorphonuclear Leucocytes ◽  
Serologic Test ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Gram Staining ◽  
Prepubertal Girls ◽  
Test Treatment

Abstract: Gonorrhoeae is a common human sexually transmitted infection caused by Neisseria gonorrhoeae. Vaginitis gonorrhoeae is a gonorrhoeae infection which commonly occurs in children after the neonatal period. Its manifestation in girls can be asymptomatic as well as some urethral or vaginal discharge. A Gram staining, culture and a serologic test should be performed for confirming the diagnosis. A gonorrhoeae suspected case in prepubertal girls may lead to a sexual abuse. We reported a 9-year-old girl complaining yellowish and large amount leukorrhea since 3 weeks ago. The Gram stain showed intracellular and extracellular negative Gram diplococcus with abundance of polymorphonuclear leucocytes >30/high magnification. Treatment with a single dose of cefixime 200 mg orally showed significant improvement aftter 3 days. Conclusion: A case of vaginitis gonorrhoeae was established based on the anamnesis, physical examination, and laboratory test. Treatment with a single dose of cefixime gave a satisfactory result. Keywords: vaginitis gonorrhoeae, Neisseria gonorrhoeae, cefixime   Abstrak: Gonore merupakan penyakit infeksi menular seksual yang disebabkan oleh kuman Neisseria gonorrhoeae. Vaginitis gonore merupakan bentuk gonore pada anak yang paling sering terjadi setelah masa neonatus. Manifestasi klinis infeksi gonore pada anak perempuan dapat asimtomatik maupun simtomatik berupa adanya duh tubuh dari uretra dan vagina, yang meninggalkan bekas di celana dalam. Pemeriksaan penunjang yang dapat dilakukan ialah pewarnaan Gram, kultur, dan tes serologik. Bila dicurigai adanya infeksi gonore pada anak perempuan prapubertas maka kekerasan atau pelecehan seksual harus dipikirkan. Kami melaporkan satu kasus vaginitis gonore pada seorang anak perempuan berusia 9 tahun dengan keluhan keputihan berwarna kuning kental dalam jumlah cukup banyak sejak 3 minggu lalu. Pada pewarnaan Gram didapatkan kuman diplokokus intrasel dan ekstrasel serta leukosit PMN >30/LPB. Perbaikan signifikan terlihat dalam 3 hari setelah pemberian terapi sefiksim 200 mg dosis tunggal. Simpulan: Telah dilaporkan kasus vaginitis gonore dengan diagnosis berdasarkan anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang. Terapi sefiksim dosis tunggal memberikan hasil yang memuaskan. Kata kunci: vaginitis gonore, Neisseria gonorrhoeae, sefiksim

scholarly journals Clinical and epidemiological features of acute intestinal infections caused by opportunistic enterobacteria in young children

2021 ◽  
Author(s):  
Г.А. Харченко ◽  
О.Г. Кимирилова
Keyword(s):  
Young Children ◽  
Information Sources ◽  
Etiological Factor ◽  
Medical Documentation ◽  
Case Histories ◽  
Moderate Severity ◽  
Epidemiological Features ◽  
Intestinal Infections ◽  
Number Of Patients ◽  
Astrakhan Oblast

Установлены клинико-эпидемиологические особенности острых кишечных инфекций (ОКИ), вызванных условно-патогенными энтеробактериями (УПЭ) у детей раннего возраста, в зависимости от этиологического фактора. Источниками информации являлись данные Управления Роспотребнадзора по Астраханской области (АО), медицинская документация (720 историй болезни) пациентов в возрасте до 1 года, лечившихся в ГБУЗ ОИКБ им. А. М. Ничоги, Астрахань, с января 2019 по декабрь 2020 г. включительно. ОКИ, вызванные УПЭ у детей в АО, составляют 74%, в том числе у детей в возрасте до 1 года – 60% от общего количества больных ОКИ уточненной бактериальной этиологии. Независимо от этиологического фактора ОКИ, вызванные УПЭ, протекали в виде моноинфекции (83%) средней степени тяжести (62%). Симптомы интоксикации имели прямую корреляционную связь (r = от 0,52 до 0,76; p < 0,001) с выраженностью диарейного синдрома и дегидратации. С уменьшением возраста ребенка увеличивалась продолжительность купирования этих симптомов (r = -0,72; p < 0,001). Clinical and epidemiological features of acute intestinal infections (AKI) caused by opportunistic enterobacteria (UPE) in young children, depending on the etiological factor were established. The information sources were the data of Rospotrebnadzor Administration in the Astrakhan oblast (AO), medical documentation (720 case histories) of patients under the age of 1 year treated in GBUZ «Regional clinical infectious hospital named. A. M. Nichogi» Astrakhan from January 2000 through December 2020. AKI caused by UPE in children in AO is 74%, including 60% in children under 1 year of age, of the total number of patients with AKI of specified bacterial etiology. Regardless of the etiological factor, AKI caused by UPE occurred in the form of monoinfection (83%), moderate severity (62%). Symptoms of intoxication had a direct correlation (r = 0,52 to 0,76; p < 0.001) with the severity of diarrheal syndrome and dehydration. With a decrease in the age of the child, the duration of relief of these symptoms increased (r = -0,72; p < 0,001).

Microbiology of the Vagina in Children: Normal and Potentially Pathogenic Organisms

PEDIATRICS ◽  
1978 ◽  
Vol 62 (1) ◽  
pp. 57-62 ◽  
Author(s):  
Margaret R. Hammerschlag ◽  
Susan Alpert ◽  
Ingrid Rosner ◽  
Pauline Thurston ◽  
Deborah Semine ◽  
...  
Keyword(s):  
Neisseria Gonorrhoeae ◽  
Staphylococcus Epidermidis ◽  
Vaginal Discharge ◽  
Yeast Species ◽  
Anaerobic Bacteria ◽  
Pathogenic Microorganisms ◽  
Abnormal Vaginal Discharge ◽  
Potentially Pathogenic Microorganisms ◽  
Facultatively Anaerobic Bacteria ◽  
Genital Mycoplasmas

Vaginal cultures from 100 healthy girls, 2 months to 15 years of age, were examined for the presence of normal and potentially pathogenic microorganisms. Corynebacterium vaginale, yeast species, and genital mycoplasmas were isolated from vaginal cultures from 13.5%, 28%, and 28% of the girls examined, respectively. Colonization with these organisms was not associated with signs or symptoms of vaginitis. Neisseria gonorrhoeae was isolated from a 4-year-old with purulent vaginitis. Trichomonas naginalis was recovered from two 13-year-olds, both of whom had an abnormal vaginal discharge. Vaginal antibody to Chlamydia trachoinatis was found in two girls, 4 and 13 years of age. In neither girl was the organism recovered from the vaginal culture. Chlamydia trachoniatis was recovered from the vaginal culture of another 4-year-old who had no abnormal findings on examination. Cultures from 59 of the girls were examined for aerobic and facultatively anaerobic bacteria. Diphtheroids and Staphylococcus epidermidis were the most frequently isolated organisms. Lactobacilli were isolated most frequently from the older girls, whereas enteric organisms were isolated most frequently from the younger girls.

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