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  • Title: Genital streptococcal infection in non-pregnant women: a case-note review.
    Author: Sonnex C.
    Journal: Int J STD AIDS; 2013 Jun; 24(6):447-8. PubMed ID: 23970746.
    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.
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