Two Cases of Vulvovaginitis Caused by Shigella flexneri and Shigella sonnei: a Case Report

Abstract

Vulvovaginitis caused by Shigella species (Shigella spp.) has rarely been reported. This paper describes two cases of prepubertal vulvovaginitis, presenting with a bloody and purulent vaginal discharge, separately caused by ampicillin-resistant Shigella flexneri and trimethoprim-sulfomethoxazoleresistant Shigella sonnei. Our conclusions are that Shigella spp. is the potential cause of vulvovaginitis in prepubertal girls in developing countries where these pathogens are endemic, and identification of the bacteria and making antibiotic susceptibility testing in these cases should not be overlooked. Turkish Başlık: Shigella Flexneri ve Shigella Sonnei'nin Neden Olduğu İki Vulvovajinit Olgusu: Olgu Sunumu Anahtar Kelimeler: Shigella flexneri, Shigella sonnei, vulvovajinit, prebubertal kız çocukları Shigella species (Shigella spp.)'in neden olduğu vulvovajinitler nadir olarak bildirilmiştir. Burada kanlı irinli vaginal akıntı şikayeti ile başvuran ve birinde ampisilin dirençli Shigella flexneri ve diğerinde trimetoprim-sulfametoksazole dirençli Shigella sonnei tespit edilen prebubertal vulvovajinitli iki olgu sunulmaktadır. Bulgularımız kuvvetle düşündürmektedir ki özellikle bu patojenlerin endemik olduğu gelişmekte olan ülkelerde vulvovajiniti olan prebubertal kız çocuklarında Shigella spp.'nin tanımlanması ve antibiyotik duyarlılık testi göz ardı edilmemelidir.

Keywords

• Shigella flexneri, Shigella sonnei, vulvovaginitis, prepubertal girls

Two Cases of Vulvovaginitis Caused by Shigella flexneri and Shigella sonnei: a Case Report

Öz

Kaynakça

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