Shigella Vulvovaginitis in a Prepubertal Child

Two Cases Of Vulvovaginitis Caused By Shigella Flexneri And Shigella Sonnei: A Case Report

“…Systemic antibiotic therapy is generally recommended as being more effective than topical antibiotic therapy (4,6,8). Although the recommended standard course of therapy for shigellosis is oral ampicillin or trimethoprim-sulfamethoxazole therapy, it should be noted that,while initially susceptible, most Shigella isolates are currently resistant to these antibiotics.…”

“…Although the recommended standard course of therapy for shigellosis is oral ampicillin or trimethoprim-sulfamethoxazole therapy, it should be noted that,while initially susceptible, most Shigella isolates are currently resistant to these antibiotics. These are inappropriate for empiric therapy unless local microbiological data suggest susceptibility (1,6,8).…”

“…Because of the infrequency of the disease, and the limitations in clinical experience, the optimal therapy for Shigella vulvovaginitis remains uncertain (7,8). Systemic antibiotic therapy is generally recommended as being more effective than topical antibiotic therapy (4,6,8).…”

“…This may be partly due to the fact that diagnosis of Shigella vulvovaginitis may be difficult. Most of these cases are reported in children (3)(4)(5)(6)(7)(8)(9).…”

“…Shigella species are not part of the normal human flora, and are well-recognized agents of acute bacillary dysentery (2).Vulvovaginitis caused by Shigella spp. have been rarely reported (3)(4)(5)(6)(7)(8)(9). This may be partly due to the fact that diagnosis of Shigella vulvovaginitis may be difficult.…”