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Bacterial Vaginosis in the Context of Lichen Sclerosus in a Prepubertal Girl

Authors

  • Marta Feito-Rodríguez M.D.,

    Corresponding author
    1. Department of Dermatology, Hospital Universitario La Paz, Universidad Autónoma de Madrid, Madrid, Spain
    • Address correspondence to Marta Feito Rodríguez, M.D., Department of Dermatology Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain, or e-mail: marta8marta@hotmail.com.

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  • Lucero Noguera-Morel M.D.,

    1. Department of Dermatology, Hospital Universitario La Paz, Universidad Autónoma de Madrid, Madrid, Spain
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  • José Casas-Rivero M.D., Ph.D.,

    1. Department of Pediatrics, Hospital Universitario La Paz, Universidad Autónoma de Madrid, Madrid, Spain
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  • Julio García-Rodríguez M.D.,

    1. Department of Microbiology, Hospital Universitario La Paz, Universidad Autónoma de Madrid, Madrid, Spain
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  • Raul de Lucas-Laguna M.D.

    1. Department of Dermatology, Hospital Universitario La Paz, Universidad Autónoma de Madrid, Madrid, Spain
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Abstract

Group A beta-hemolytic streptococcus cause most vulvovaginal infections seen in prepubertal girls. Bacterial vaginosis is a common cause of abnormal vaginal discharge in women of childbearing age but is rare in children. Data are insufficient to suggest that bacterial vaginosis is an exclusively sexually transmitted disease. We report a 10-year-old girl with no history or suspicion of sexual abuse who developed bacterial vaginosis in the context of a lichen sclerosus being treated with tacrolimus ointment. Secondary bacterial infection in lichen sclerosus is uncommon. We speculate that the immunosuppressive effect of topical tacrolimus could have triggered the infection.

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