Vulvovaginitis and Perineal Cellulitis Due to Group A Streptococcus in an Adult Woman

Tonkovic-Capin, Viseslav; Fleming, Matthew G.; Kleven-Kranz, Kristina; Lund, Michael

doi:10.1001/archderm.141.6.790

Cited by 11 publications

(3 citation statements)

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“…The vaginal culture grew group A streptococcus and the patient quickly recovered after being treated with nafcillin followed by oral dicloxacillin. 7 According to Meltzer and Schwebke, 8 ''Postmenopausal and postpartum women experience a similar regression to the immature, anestrogenic vaginal environment found in prepubescent girls. The condition is called senile vaginal atrophy in postmenopausal women and postpartum vaginal atrophy in postpartum women.''…”

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confidence: 99%

Streptococcal vulvovaginitis

Heymann

2009

Journal of the American Academy of Dermatology

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Streptococcal vulvovaginitis

Heymann

2009

Journal of the American Academy of Dermatology

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“…Wet mount preparations reveal abundant WBCs, Gram staining often reveals gram-positive cocci in pairs and chains and few or no Lactobacillus species, and the pH is usually quite elevated. Vaginal cultures often grow abundant GAS with few or no other organisms isolated [4,[8][9][10][11][12][13]. It should be noted that the rate of vaginal carriage of GAS in healthy women and children ranges from 0% to slightly over 1% [8,11].…”

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Lactational Amenorrhea as a Risk Factor for Group A Streptococcal Vaginitis

Meltzer

Schwebke

2008

CLIN INFECT DIS

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We report a case of Streptococcus pyogenes, beta-hemolytic Streptococcus, Lancefield group A vulvovaginitis in an otherwise healthy adult female patient experiencing lactational amenorrhea. Group A streptococcal infection is the infective cause of vulvovaginitis in 21% of prepubescent girls, but it is an uncommon cause of vulvovaginitis in adults. Group A streptococcal vulvovaginitis is frequently associated with households that have had a recent outbreak of respiratory or dermal infection. The case described here appears to be unusual in that it was sexually transmitted, and the lack of estrogen associated with anovualtion may have been a predisposing factor for this unusual sexually transmitted disease.

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“…Although rates of vaginal carriage of GAS in adult women remain low, GAS vaginitis has been reported [6,7]. In an investigation of vaginal colonization rates for group A b-hemolytic streptococci, Mead et al [8] studied 6944 vaginal and rectal swab samples obtained from all patients delivering of infants at a Vermont hospital during a 38-month period and showed a 20.1% colonization rate for group B streptococcus but only a 0.03% colonization rate for GAS.…”

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Recurrent Group A Streptococcal Vulvovaginitis in Adult Women: Family Epidemiology

Sobel

Funaro

Kaplan

2007

Clinical Infectious Diseases

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Group A beta-hemolytic streptococcal (GAS) vulvovaginitis has been reported in prepubertal girls. In adult women, a vaginal carrier state has been described, but vulvovaginitis is rarely reported. We describe 2 cases of recurrent GAS vulvovaginitis in women whose husbands were gastrointestinal carriers of GAS. Characterization of the isolated strains demonstrated that identical emm types of GAS were shared by partners. Treatment of both partners resulted in resolution of vaginitis. On the basis of negative vaginal culture results obtained after treatment of each individual episode of vaginitis, we believe that the female patients were reinfected as a result of exposure to their husbands, with shedding likely to have occurred in bed. These cases reiterate the necessity for adequate screening of the patient's family and contacts in cases of recurrent GAS infection by culturing all potential areas of GAS carriage.

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Vulvovaginitis and Perineal Cellulitis Due to Group A Streptococcus in an Adult Woman

Cited by 11 publications

References 4 publications

Streptococcal vulvovaginitis

Streptococcal vulvovaginitis

Lactational Amenorrhea as a Risk Factor for Group A Streptococcal Vaginitis

Recurrent Group A Streptococcal Vulvovaginitis in Adult Women: Family Epidemiology

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