title: Foreign body in vagina: an uncommon cause of vaginitis in children.
abstract: Vaginal discharge in children may result from a variety of causes. A long-standing intra-vaginal foreign body can pose both diagnostic and therapeutic challenges in children. Treatment failure may occur because of alteration of the normal vaginal flora. A 6-year-old girl, who lived with her parents, presented with a foul-smelling, blood-stained vaginal discharge as well as dysuria for 2 years. There was no history of sexual abuse. Initial evaluation that excluded gynecologic examination revealed lower abdominal tenderness. Vaginal swab and urine cultures yielded Staphylococcus aureus sensitive to ceftriaxone only. She was commenced on this antibiotic for 2 weeks, but the discharge persisted, necessitating referral to the gynecologist. Examination under anesthesia by the gynecologist revealed shreds of toilet tissue paper extracted from the vagina and slight excoriations on the wall of the vagina. Vaginal foreign body can present with diverse symptoms. It should be considered in any young female patient presenting with recurrent or persistent vaginal discharge.
authors: Department of Paediatrics, Faculty of Medical Sciences, University of Nigeria, Enugu Campus Enugu, Nigeria.
authors: Jm
authors: J
authors: Chinawa
authors: Ha
authors: H
authors: Obu
authors: Sn
authors: S
authors: Uwaezuoke
keywords: Foreign body; Pediatric; Vaginal discharge
references: Clin Pediatr (Phila). 1973 Feb;12(2):113-6
references: 4686856
references: J Pediatr Adolesc Gynecol. 2003 Feb;16(1):5-14
references: 12604139
references: J Indian Med Assoc. 2002 Apr;100(4):257, 259
references: 12405341
references: J Pediatr Adolesc Gynecol. 2009 Apr;22(2):e5-7
references: 19345908
references: Indian J Pediatr. 2007 Aug;74(8):755-8
references: 17785899
references: Indian J Dermatol Venereol Leprol. 2004 Mar-Apr;70(2):118-9
references: 17642584
references: J Reprod Med. 1994 Dec;39(12):931-5
references: 7884746
references: Indian Pediatr. 2011 Aug;48(8):643-4
references: 21918270
references: Urol Clin North Am. 1995 Feb;22(1):161-76
references: 7855952
references: Indian J Pediatr. 1999 May-Jun;66(3):466-7
references: 10798096
references: Arch Gynecol Obstet. 2001 Nov;265(4):221-2
references: 11789752
references: J Emerg Nurs. 2005 Aug;31(4):400-2
references: 16126111
references: Arch Pediatr Adolesc Med. 1994 Feb;148(2):195-200
references: 8118540
references: J Am Assoc Gynecol Laparosc. 1996 May;3(3):443-4
references: 9050672