Vulvo-vaginitis

Common age group is the first five years of life, but any prepubertal girl can be affected. Causes—

• Infecting organism are:

1. Candida
2. E.coli
3. Gonococcus
4. Pneumococcus
5. Staphylococcus
6. Streptococcus
7. Thread worms
8. Trichomonas vaginalis

Transmission by:

• Clothes
• Hands
• Mother
• Toilet
• Utensils

Foreign body inserted in vagina Symptoms And Signs—

• Profuse, purulent vaginal discharge
• Reddened, edematous vulva
• Soreness
• Irritation
• Dysuria
• Child constantly handling/scratching the external genitalia
• P/R may reveal a foreign body

Investigations—

• Culture and sensitivity test  of discharge
• EUA(examination under anesthesia)

Treatment—

• Medicines
• Removal of foreign body
• Isolation from other children