Vaginal discharge in prepubescent girls is not an uncommon problem in pediatric outpatient practice. Among its various etiologies, foreign body lodgement is quite frequent in this age group. Diagnosis is sometimes forthcoming after history and physical exam, and the removal of the foreign object is followed by a prompt resolution of symptoms. In such cases, diagnosis may remain unclear even after laboratory tests and imaging studies. We describe a seven-year-old girl with vaginal discharge, who needed inpatient admission, multiple imaging studies and, finally, exploration under anesthesia to confirm the diagnosis of foreign body fecal mass lodgement and its removal.
Vaginal Discharge in a Pre-pubertal Girl Posing a Diagnostic Challenge
The doctor diagnosed vulvitis, can you tell me more about this and is it contagious? The vagina is not a sterile environment and a number of different organisms have been found to routinely inhabit this part of the body. Vaginal secretions are normally acidic and protective. Oestrogen brings about change in the cells lining the vagina, which results in an increase in the acidity of the vagina and therefore a decrease in the pH of its secretions. It is not usually contagious. The condition is more likely to occur if the individual is in general poor health for some reason or if they are diabetic , during hot weather and as a result of wearing clothing that doesn't allow adequate ventilation. Hygiene is also a factor in some cases and one must always encourage young ladies to clean themselves by wiping from front to back having been to the toilet.
A nursing mother once ran to our clinic to be treated for a sexually transmitted disease because she thought her two-month old baby girl acquired it from her. The infant was having a whitish vaginal discharge. The mother was checked and tested for evidence of STD at her request. The test was normal.
Pyometra is an infection of the uterus, the reproductive organ of a female dog. The uterus becomes filled with pus and the infection can spread systemically leading to sepsis. Pyometra occurs commonly in older intact female dogs and will begin several weeks after a heat cycle.