Ghent University Academic Bibliography

Advanced

Group A streptococcal vaginitis: an unrecognized cause of vaginal symptoms in adult women

Hans Verstraelen UGent, Rita Verhelst, Mario Vaneechoutte UGent and Marleen Temmerman UGent (2011) ARCHIVES OF GYNECOLOGY AND OBSTETRICS. 284(1). p.95-98
abstract
Vaginal infection with group A streptococci (GAS) is an established cause of vaginitis amongst prepubescent girls, but largely unrecognized in adult women and therefore often misdiagnosed as vulvovaginal candidosis. We sought to give an overview of the epidemiology, risk factors, symptoms, signs, and treatment of GAS vaginitis in adult women. Systematic literature search. We identified nine case reports covering 12 patients with documented GAS vulvovaginitis. GAS vulvovaginitis in adult women is often associated with a predisposing factor: (1) household or personal history of dermal or respiratory infection due to GAS, (2) sexual contact, and (3) lactational or menopausal vaginal atrophy. Symptoms of GAS vulvovaginitis in adult women may include vaginal and/or vulvar pain, dyspareunia, burning sensation or irritation, and pruritus. In most cases, there is also profuse or copious vaginal discharge which may be watery, yellow, or even purulent. Whilst there are neither clinical trials nor treatment guidelines, treatment with oral penicillin or with vaginal clindamycin cream has been reported to result in rapid cure. In breast-feeding and postmenopausal women with vaginal atrophy, additional treatment with local estriol may be necessary to prevent recurrence. Finally, in case of recurrent GAS vulvovaginitis it will be necessary to assess the patients' asymptomatic household members for pharyngeal and anal carriage and to treat them accordingly. Vaginal infection with GAS in adult women is a clearly defined entity and should be considered a diagnosis when more common causes of vaginitis have been ruled out.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
WOMAN, VULVO-VAGINITIS, PYOGENES, Vaginal discharge, Streptococcus pyogenes, Vaginitis, Vaginal flora
journal title
ARCHIVES OF GYNECOLOGY AND OBSTETRICS
Arch. Gynecol. Obstet.
volume
284
issue
1
pages
95 - 98
Web of Science type
Article
Web of Science id
000291482900015
JCR category
OBSTETRICS & GYNECOLOGY
JCR impact factor
1.277 (2011)
JCR rank
56/78 (2011)
JCR quartile
3 (2011)
ISSN
0932-0067
DOI
10.1007/s00404-011-1861-6
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1844999
handle
http://hdl.handle.net/1854/LU-1844999
date created
2011-06-29 10:10:41
date last changed
2016-12-19 15:41:56
@article{1844999,
  abstract     = {Vaginal infection with group A streptococci (GAS) is an established cause of vaginitis amongst prepubescent girls, but largely unrecognized in adult women and therefore often misdiagnosed as vulvovaginal candidosis. We sought to give an overview of the epidemiology, risk factors, symptoms, signs, and treatment of GAS vaginitis in adult women.
Systematic literature search.
We identified nine case reports covering 12 patients with documented GAS vulvovaginitis. GAS vulvovaginitis in adult women is often associated with a predisposing factor: (1) household or personal history of dermal or respiratory infection due to GAS, (2) sexual contact, and (3) lactational or menopausal vaginal atrophy. Symptoms of GAS vulvovaginitis in adult women may include vaginal and/or vulvar pain, dyspareunia, burning sensation or irritation, and pruritus. In most cases, there is also profuse or copious vaginal discharge which may be watery, yellow, or even purulent. Whilst there are neither clinical trials nor treatment guidelines, treatment with oral penicillin or with vaginal clindamycin cream has been reported to result in rapid cure. In breast-feeding and postmenopausal women with vaginal atrophy, additional treatment with local estriol may be necessary to prevent recurrence. Finally, in case of recurrent GAS vulvovaginitis it will be necessary to assess the patients' asymptomatic household members for pharyngeal and anal carriage and to treat them accordingly.
Vaginal infection with GAS in adult women is a clearly defined entity and should be considered a diagnosis when more common causes of vaginitis have been ruled out.},
  author       = {Verstraelen, Hans and Verhelst, Rita and Vaneechoutte, Mario and Temmerman, Marleen},
  issn         = {0932-0067},
  journal      = {ARCHIVES OF GYNECOLOGY AND OBSTETRICS},
  keyword      = {WOMAN,VULVO-VAGINITIS,PYOGENES,Vaginal discharge,Streptococcus pyogenes,Vaginitis,Vaginal flora},
  language     = {eng},
  number       = {1},
  pages        = {95--98},
  title        = {Group A streptococcal vaginitis: an unrecognized cause of vaginal symptoms in adult women},
  url          = {http://dx.doi.org/10.1007/s00404-011-1861-6},
  volume       = {284},
  year         = {2011},
}

Chicago
Verstraelen, Hans, Rita Verhelst, Mario Vaneechoutte, and Marleen Temmerman. 2011. “Group A Streptococcal Vaginitis: An Unrecognized Cause of Vaginal Symptoms in Adult Women.” Archives of Gynecology and Obstetrics 284 (1): 95–98.
APA
Verstraelen, H., Verhelst, R., Vaneechoutte, M., & Temmerman, M. (2011). Group A streptococcal vaginitis: an unrecognized cause of vaginal symptoms in adult women. ARCHIVES OF GYNECOLOGY AND OBSTETRICS, 284(1), 95–98.
Vancouver
1.
Verstraelen H, Verhelst R, Vaneechoutte M, Temmerman M. Group A streptococcal vaginitis: an unrecognized cause of vaginal symptoms in adult women. ARCHIVES OF GYNECOLOGY AND OBSTETRICS. 2011;284(1):95–8.
MLA
Verstraelen, Hans, Rita Verhelst, Mario Vaneechoutte, et al. “Group A Streptococcal Vaginitis: An Unrecognized Cause of Vaginal Symptoms in Adult Women.” ARCHIVES OF GYNECOLOGY AND OBSTETRICS 284.1 (2011): 95–98. Print.