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

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 Baslik: Shigella Flexneri ve Shigella Sonnei'nin Neden Oldugu Iki Vulvovajinit Olgusu: Olgu Sunumu Anahtar Kelimeler: Shigella flexneri, Shigella sonnei, vulvovajinit, prebubertal kiz cocuklari Shigella species (Shigella spp.)'in neden oldugu vulvovajinitler nadir olarak bildirilmistir. Burada kanli irinli vaginal akinti sikayeti ile basvuran ve birinde ampisilin direncli Shigella flexneri ve digerinde trimetoprim-sulfametoksazole direncli Shigella sonnei tespit edilen prebubertal vulvovajinitli iki olgu sunulmaktadir. Bulgularimiz kuvvetle dusundurmektedir ki ozellikle bu patojenlerin endemik oldugu gelismekte olan ulkelerde vulvovajiniti olan prebubertal kiz cocuklarinda Shigella spp.'nin tanimlanmasi ve antibiyotik duyarlilik testi goz ardi edilmemelidir.