Urinary tract infection as a single presenting sign of multiple vaginal foreign bodies: Sexually transmitted infections STI are a rare cause of vaginal discharge in pre-pubertal girls. The authors disclosed none. Six days later the PED was notified that the culture of the vaginal discharge was positive for N. Her physical examination in the PED was noteworthy for erythema of the labia majora and a copious greenish-white vaginal discharge.
Child sexual abuse is a significant problem in the United States.
Vaginal Foreign Bodies and Child Sexual Abuse: An Important Consideration
Indian J Dermatol Venereol Leprol. Foreign bodies have been reported to be inserted by children because the genital area may be pruritic, the children may be exploring their bodies, or it is a behavior related to sexual abuse. Common gynecologic problems in pre-pubertal girls. J Pediatr Health Care. Further history revealed persistence of the vaginal discharge, which was now more yellow in color, and the child was treated with Ceftriaxone. We recommend that all pre-pubertal girls who present with a vaginal foreign body should be considered as possible victims of sexual abuse and should receive a sexual abuse history and testing for sexually transmitted infections.