Semiquantitative bacterial observations with group B streptococcal vulvovaginitis.

The clinical description of these four women with regard to the appearance of the vulvar vestibule could suggest a number of different diagnoses. Among these are Lichen planus and contact dermatitis. Simply the isolation of group B streptococcus in whatever quantity cannot make the diagnosis of a vulvovag-initis without knowing the histology of the skin and the exclusion of other infectious agents such as Candida. The author has not demonstrated that group B streptococcal vulvovaginitis exists.