title: Group B streptococcal vaginitis in postpubertal adolescent girls.
abstract: OBJECTIVE
  The purpose of this study was to explore the clinical findings, diagnosis, and treatment of group B streptococcal (GBS) vulvovaginitis in a sample of adolescent girls and young women found to have this condition.
  
  
  METHODS
  Descriptive retrospective analysis of charts of 13 adolescent girls and young women found to have GBS vulvovaginitis was performed.
  
  
  RESULTS
  Of the girls and young women with GBS vulvovaginitis, almost all were found to have a purulent vaginal discharge (n = 12). Three had frank cervicitis and/or vaginitis on examination. Only 1 was diagnosed accurately with GBS vulvovaginitis at the time of the visit and 4 were treated with appropriate antibiotics at the time of the visit.
  
  
  CONCLUSIONS
  GBS vulvovaginitis is a poorly diagnosed disease entity in the adolescent and young adult population. Further study is needed in the epidemiology of GBS vaginitis in postpubertal adolescent girls and women to improve the recognition, pathogenesis, and treatment of GBS vaginitis.
authors.affiliation: Craig-Dalsimer Division of Adolescent Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA. clark@email.chop.edu
authors.forename: Liana R
authors.initials: LR
authors.lastname: Clark
authors.forename: Marisa
authors.initials: M
authors.lastname: Atendido
mesh_terms: D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D012189:Retrospective Studies; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D013292:Streptococcus agalactiae / Q000472:pathogenicity*; D019522:Vaginal Discharge / Q000209:etiology; D016585:Vaginosis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D014845:Vulvar Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology
chemical_list: D000900:Anti-Bacterial Agents