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Haemophilus influenzae vulvovaginitis associated with rhinitis caused by the same clone in a prepubertal girl
Author(s) -
Chen Xiao,
Chen Lifeng,
Zeng Wenjie,
Zhao Xiaofeng
Publication year - 2017
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13311
Subject(s) - vagina , haemophilus influenzae , medicine , girl , microbiology and biotechnology , nose , pulsed field gel electrophoresis , transmission (telecommunications) , nasal cavity , pasteurellaceae , antibiotics , dermatology , surgery , biology , genotype , biochemistry , genetics , electrical engineering , gene , engineering
Vulvovaginitis caused by upper respiratory flora is generally considered to be the most common gynecological problem in prepubertal girls. To date, however, no direct evidence has been obtained for the underlying mechanism of transmission. This report describes a case of non‐capsulate Haemophilus influenzae vulvovaginitis in a 6‐year‐old girl with a history of foreign bodies (cotton wool) in her vagina. Moreover, this girl had recurrent rhinitis for approximately 3 years. On Pulsed Field Gel Electrophoresis (PFGE) analysis the H. influenzae strain isolated from vaginal secretions and the H. influenzae strain isolated from nasal secretions were derived from the same clone. The patient was successfully treated with appropriate antibiotics. The present case might provide the first direct evidence of the nose‐hand‐vagina method of transmission.