PDF(Pubmed)
Abstract：
Shigella 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 Shigella flexneri 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 Shigella vulvovaginitis with the authors\' goal to expedite diagnosis and treatment in paediatric patients.
摘要：
志贺氏菌外阴阴道炎是青春期前阴道出血的罕见病因，在鉴别诊断中应考虑。尤其是去过发展中国家的病人。一个年轻女孩出现了青春期前阴道出血，盆腔疼痛,偶有排尿困难，无胃肠道症状。经过一年的广泛检查，包括阴道镜和活检,生殖器培养和革兰氏染色显示福氏志贺氏菌引起的外阴阴道炎经过细菌敏感性检查，患者接受了30天疗程的磺胺甲恶唑-甲氧苄啶.患者1个月后返回诊所，没有阴道出血的迹象，放电或盆腔疼痛。此病例提示回顾青春期前阴道出血的评估和鉴别诊断，包括感染性病因，如志贺氏菌外阴阴道炎，作者的目标是加快儿科患者的诊断和治疗。
