Etiology of vaginal discharge in sexually inactive adolescents

Red herring vaginal discharge.

Labial hair tourniquet syndrome is a rare condition that can be easily misdiagnosed and ultimately lead to irreversible damage. An 11-year-old premenarche girl presented with a 5-day history of pain and swelling in the labia with associated vaginal discharge. The general practitioner treated her with clotrimazole without improvement. On examination, there was an oedematous swelling of the right...

Abnormal vaginal discharge.

Speculum examination to inspect vaginal walls, cervix, and characteristics of discharge. Although not mandatory, vaginal pH can be checked by using a swab to collect discharge from the lateral vaginal wall and rubbing on to narrow range pH paper. This can help discriminate between bacterial vaginosis, trichomoniasis, and candidiasis. Take endocervical swabs if there is risk of sexually transmit...

Altered Biomarkers of Mucosal Immunity and Reduced Vaginal Lactobacillus Concentrations in Sexually Active Female Adolescents

BACKGROUND Genital secretions collected from adult women exhibit in vitro activity against herpes simplex virus (HSV) and Escherichia coli (E. coli), but prior studies have not investigated this endogenous antimicrobial activity or its mediators in adolescent females. METHODOLOGY/PRINCIPAL FINDINGS Anti-HSV and anti-E.coli activity were quantified from cervicovaginal lavage (CVL) specimens co...

California adolescents increasingly inactive.

Microbiology of vaginal discharge in Nairobi, Kenya.

Among women attending a sexually transmitted disease (STD) clinic in Nairobi with vaginal discharge, Neisseria gonorrhoeae and Chlamydia trachomatis were isolated from the cervix in 32 (26%) of 122 and four (7%) of 58 women respectively. Infection with Trichomonas vaginalis, Candida albicans, Gardnerella vaginalis, and Mycoplasma spp were diagnosed in 42 of 122 (34%), 26 of 110 (24%), 75 of 100...