An eight-year-old girl of bosian origin presented to our health center with intermittent vaginal bleeding and mucopurulent and malodorant vaginal discharge two months ago.
Physical examination revealed severe congestion and edema of the hymen and vulvar introitus.
The girl with her parents and a father-in-law uncle with her partner in the same house, and not in sexual abuse.
The patient was referred to the emergency department for differential diagnosis of vaginal foreign body and ruling out sexual abuse.
Gynecologic examination revealed a vaginal foreign body and vaginal exudate.
In turn, it was valued by the forensic physician of the daycare center, who issued a court ruling that ruled out signs of sexual abuse.
Vaginal exudate culture was positive for Shigella sonnei resistant according to the antibiogram to amoxicillin/clavulanic acid, penicillin and combination of gentamicin and amoxicillin/clavulanic acid susceptible trimpetoprim and cefoxime.
Coprocultive culture of perianal exudate and urine culture were also requested, which were negative.
It was decided to prescribe antibiotic treatment with cefuroxime axetil for ten days, with clinical manifestations and great clinical improvement, but without complete resolution, so the same treatment regimen was repeated, disappearing.
