Etiological Agents of Pruritus Vulvae in Prepupertal Girls, In Hilla City

A. Al-Khafajii, Kareema; Alwash, Ban; Hadi Al-Hassnawi, Huda

	Etiological Agents of Pruritus Vulvae in Prepupertal Girls, In Hilla City
Medical Journal of Babylon
Article 1, Volume 8, Issue 4, 2011, Pages 651-658
Authors
Kareema A. Al-Khafajii; Ban Alwash; Huda Hadi Al-Hassnawi
Abstract
Vulvar pruritius is a common complaint in females of all ages. However, little has been published on pruritius vulvae in children as a primary symptom. A total of 70 cases of pre pubertal girls collected from private clinics, aged 8 months to 9 years at the time period from June 2009 to January 2010.History was taken regarding family history, economic state, present history and presence of other diseases. The chief complaint of them was pruritius vulvae ,from which 20 cases (28.57%) had dysuria, as well as clinical examination reveled; redness of vulvae was found in 48 cases (68.57%), vaginal discharge in 10 cases (14.28%) and vaginal bleeding in two case( 2.8%).Vulval and perianal Molloscum contagiosum lesion in 8 cases (11.4%)while the least vulval and perianal genital warts in (7.1%).On laboratory diagnosis using tape test searching for pin worm ova ,only30cases( 42.9%) out of the 70 cases had positive result. Gram stain of swabs have been taken from the 10 cases of vaginal discharge who were suspected sexually abused children reveals gram negative diplococcic of gonorrhea in 6 cases and demonstration of pseudohyphae on the smear was taken from the red vulvae on 4 cases. Isolation and identification of bacterial isolates were found in 18 cases, and Candida species in 4 cases. The most frequently isolated bacteria were Streptococcus faecalis and Neisseria gonorrheae in 6cases (21.4%), Escherichia coli 4cases (14.3%), Staphylococcus aureus 3cases (10.7%), Streptococcus agalagtiae and Streptococcus pyogenes 2cases (7.1%) for each, Proteus mirabilis 1case (3. 6%) and Candida spp.4cases (14. 3%).

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