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June 2005

Vulvovaginitis and Perineal Cellulitis Due to Group A Streptococcus in an Adult Woman

Arch Dermatol. 2005;141(6):790-792. doi:10.1001/archderm.141.6.790

We describe a woman of childbearing age with group A streptococcal vulvovaginitis and perineal cellulitis, a condition usually encountered in prepubertal girls.1-3

A 41-year-old woman was admitted for a 2-week history of copious vaginal discharge with severe and progressive vaginal and perineal pruritus, edema, and erythema. Prior to admission, the patient had multiple visits to community gynecologists and received, without benefit, topical antifungal agents, metronidazole vaginal gel, oral antiviral agents, and antihistamines.

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