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Nontrichomonal purulent vaginitis: Clinical approach

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Abstract

Although trichomonal vaginitis and cervicitis are responsible for most presentations of a frankly purulent vaginal discharge, nontrichomonal vaginitis and purulent exudate are being seen in an increasing number of cases. Purulent vaginitis remains poorly defined and largely ignored, with little increase in the amount of knowledge we have of this not infrequent entity. Accordingly, a variety of empirical therapies, often including multiple simultaneous measures, are prescribed. Considerable numbers of causes are now identified, and this review describes a step-by-step approach to diagnosis and management.

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References and Recommended Reading

  1. Sorvillo F, Kerndt P: Trichomonas vaginalis and amplification of HIV-1 transmission. Lancet 1998, 351:213–4. Good source of supplemental information.

    Article  PubMed  CAS  Google Scholar 

  2. Anderson J, Clark RA, Watts DH, et al.: Idiopathic genital ulcers in women infected with human immunodeficiency virus. J Acquir Immune Defic Syndr Hum Retrovirol 1996, 13:343–347.

    PubMed  CAS  Google Scholar 

  3. Sobel JD: Desquamative inflammatory vaginitis: a new subgroup of purulent vaginitis responsive to topical 2% clindamycin therapy. Am J Obstet Gynecol 1994, 171:1215–1220. Important study.

    PubMed  CAS  Google Scholar 

  4. Breese BB, Breese Hall C: β-hemolytic streptococcal disease. In Other Septic Infections. Boston: Houghton Mifflin; 1978:212–213.

    Google Scholar 

  5. Miniatis AN, Palermos J, Kantzanou M, et al.:Streptococcus agalactiae: a vaginal pathogen. J Med Microbiol 1996, 44:199–201.

    Article  Google Scholar 

  6. Regan JA, Klebanoff MA, Nugent RP: The epidemiology of group B streptococcal colonization in pregnancy. Obstet Gynecol 1991, 77:604–610.

    PubMed  CAS  Google Scholar 

  7. Kishi K, Hirai K, Hiramastsu K, et al.: Clindamycin suppresses endotoxin released by ceftazidine-treated Escherichia coli 055:B5 and subsequent production of tumor necrosis factor a and interleukin-1 β. Antimicrob Agents Chemother 1999, 43:616–622. Clinically interesting.

    PubMed  CAS  Google Scholar 

  8. Eisen D: The vulvovaginal-gingival syndrome of lichen planus. The clinical characteristics of 22 patients. Arch Dermatol 1994, 130:1379–1382.

    Article  PubMed  CAS  Google Scholar 

  9. Lewis FM: Vulva lichen planus: Br J Dermatol 1998, 138:569–575.

    Article  PubMed  CAS  Google Scholar 

  10. Pelisse M: The vulvovaginal-gingival syndrome. A new form of erosive lichen planus. Int J Dermatol 1989, 28:381–411.

    PubMed  CAS  Google Scholar 

  11. Pelisse M: Erosive vulvar lichen planus and desquamative vaginitis. Semin Dermatol 1998, 15:47–50.

    Article  Google Scholar 

  12. Edwards L, Friedrich EG Jr: Desquamative vaginitis: lichen planus in disguise. Obstet Gynecol 1988, 71:832–836.

    PubMed  CAS  Google Scholar 

  13. Verte C, Reich K, Rupprecht R, Neumann C: Erosive mucosal lichen planus: response to topical treatment with tacrolimus. Br J Dermatol 1999, 140:338–342.

    Article  Google Scholar 

  14. Eisen D, Ellis CN, Duell EA, et al.: Effect of topical cyclosporine rinse on oral lichen planus. A double-blind analysis. N Engl J Med 1990, 323:290–294.

    Article  PubMed  CAS  Google Scholar 

  15. Dereure O, Basset-Seguin N, Guilhau JJ: Erosive lichen planus: dramatic response to thalidomide. Arch Dermatol 1996, 132:1392–1393.

    Article  PubMed  CAS  Google Scholar 

  16. McKay M: Vulvitis and vulvovaginitis: cutaneous considerations. Am J Obstet Gynecol 1991, 165:1176–1182.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Division of Infectious Diseases, Harper Hospital, 4 Brush, Room 4811 3990 John R, 48201, Detroit, MI, USA

    Jack D. Sobel MD

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  1. Jack D. Sobel MD
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Sobel, J.D. Nontrichomonal purulent vaginitis: Clinical approach. Curr Infect Dis Rep 2, 501–505 (2000). https://doi.org/10.1007/s11908-000-0052-6

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  • DOI: https://doi.org/10.1007/s11908-000-0052-6

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