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Old 09-25-2011
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Default 6 year old female with vulvovaginitis

a 6 year old female is brought to the pediatrician because of severe dysuria. the history is unremarkable except for the patient having a sore throat. there is no history of hematuria, fever, use of bubble bath, pin worms, tight clothing, nylon underwear, or recent medication. inspection of the perineum reveals and intense erysipelas-like erythema of the vulva, distal vagina and perineal area. a seronguineous vaginal discharge is present. which of the following is most likely the cause?:

a. H. influenzae
b. N. Gonorrhea
c. C. trachomatis
d. Group A beta-hemolytic streptococcus
e. S. pneumoniae
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Old 09-25-2011
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Originally Posted by Seetal View Post
a 6 year old female is brought to the pediatrician because of severe dysuria. the history is unremarkable except for the patient having a sore throat. there is no history of hematuria, fever, use of bubble bath, pin worms, tight clothing, nylon underwear, or recent medication. inspection of the perineum reveals and intense erysipelas-like erythema of the vulva, distal vagina and perineal area. a seronguineous vaginal discharge is present. which of the following is most likely the cause?:

a. H. influenzae
b. N. Gonorrhea
c. C. trachomatis
d. Group A beta-hemolytic streptococcus
e. S. pneumoniae
c.chlamydia trachomatis.
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Old 09-25-2011
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c. C. trachomatis
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d. Group A beta-hemolytic streptococcus.
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c. C. trachomatis
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Old 10-06-2011
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Default good try guys. the answer is D.

nonvenereal infectious vulvovaginitis is not uncommon in prepubertal ptts. poor perineal hygiene is the most common cause of nonspecific vulvovaginitis and accounts for 70% of all pediatric vulvovaginitis cases. most of these cases are secondary to fecal contamination. bacterial vulvovaginitis due to a primary respiratory or skin pathogen may also be found. group A beta-hemolytic streptococcus may be associated with streptococcal nasopharyngitis or scarlet fever, or may occur alone.
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