title: Genital streptococcal infection in non-pregnant women: a case-note review.
abstract: The purpose of this case-note review was to examine the clinical features and management of women with either vulval or vaginal swabs culturing positive for streptococci. Group B haemolytic streptococcus was isolated in all cases. The majority of women with vulval streptococci presented with irritation or soreness. Candidal infection was found in 43% and a dermatosis in 27%. All women with positive vaginal culture had vaginal soreness and/or discharge. Candida was isolated in 27% and there were features of desquamative vaginitis in 20%. Women treated with erythromycin failed to improve symptomatically. The findings of this study suggest that streptococci mostly play a secondary role and colonize an already damaged genital epithelium.
authors: Addenbrooke's Hospital, Cambridge, UK. Christopher.sonnex@addenbrookes.nhs.uk
authors: C
authors: C
authors: Sonnex
mesh_terms: D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology; D013292:Streptococcus agalactiae / Q000302:isolation & purification*; D016896:Treatment Outcome; D014626:Vaginal Smears / Q000379:methods*; D014848:Vulvovaginitis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents
keywords: Group B streptococcus; Streptococci; desquamative vaginitis; genital; genital swabs; vaginal bacterial infection; vulval dermatosis; vulvitis; women