Images (2)
Vulvitis, a-streptococcal vulvitisN76.-
Synonym(s)
DefinitionThis section has been translated automatically.
A-streptococci are the main pathogens of vulvitis in prepubertal girls. The transmission takes place by digital smear infection from the nasopharynx. The colonisation of the child's nasopharynx with A-streptococci is estimated to be 3 - 10%. The child can also be a source of infection for the mother.
ManifestationThis section has been translated automatically.
Predominantly in prepubertal girls (80% of patients are 2-7 years old). In this age group this disease is the most common form of vulvitis. More rarely, A-streptococcal vulvitis occurs in adulthood. In this manifestation, an asymptomatic partner infection must be considered.
Clinical featuresThis section has been translated automatically.
Acute, painful, burning redness and swelling of the vulva with extensive, whitish weeping epithelial detachments. Yellowish fluorine. More rarely, the picture of a dry scaling, flat redness of the vulva is more frequent.
DiagnosisThis section has been translated automatically.
To confirm the diagnosis, a smear with a moistened cotton swab is necessary for the cultural detection of streptococci.
Complication(s)This section has been translated automatically.
In case of recurrent course, reinfections by simultaneous streptococcal pharyngitis are probable; furthermore, ascending infections are possible; puerperal sepsis; recurrent erysipelas.
TherapyThis section has been translated automatically.
The drug of choice is oral penicillin;
alternatively. Amoxicillin or cephalosporin.
Alternative: Clindamycinrine.
Duration of therapy: 5-10 days.
LiteratureThis section has been translated automatically.
- Bray S et al,(2006) Two cases of group A streptococcal vulvovaginitis in premenopausal adults in a sexual health setting. Sex Health 3:187-188.
- Clegg HW et al(2015) Clinical Perineal Streptococcal Infection in Children: Epidemiologic Features, Low Symptomatic Recurrence Rate after Treatment, and Risk Factors for Recurrence. J Pediatr 167:687-693.
- Hansen MT et al(2007) Streptococcus pyogenes pharyngeal colonization resulting in recurrent, prepubertal vulvovaginitis. J Pediatr Adolesc Gynecol 20:315-317.
- Heymann WR (2009) Streptococcal vulvovaginitis. J Am Acad dermatol 61:94-95.
- Rahangdale L et al,(2008) Group A Streptococcus vulvovaginitis inbreastfeeding women. Am J Obstet Gynecol 199:e4-5.
- Sobel JD et al(2007) Recurrent group A streptococcal vulvovaginitis in adult women: family epidemiology. Clin Infect Dis 44:e43-45.
- Sonnex C (2013) Genital streptococcal infection in non-pregnant women: a case-note review. Int J STD AIDS 24:447-448.