诊断挑战的情况下,恶臭阴道分泌物在一个新获得初潮的女孩

IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL
Vincent Tee, Ca W Ng, Ahmad A Ismail, Noor AH Che Hashim, Nik R Afendi
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引用次数: 0

摘要

青少年阴道分泌物的恶臭通常源于感染、异物插入、肿瘤、先天性异常和性虐待。诊断出院原因仍然具有挑战性,特别是在来自边缘民族和社会文化背景的人口的性健康和生殖健康意识相对较低的情况下。对性虐待的怀疑必须谨慎而敏感地加以调查。在不赞成婚前性行为的青少年中,性暴露史可能不会公开。找出病因的过程对医疗保健专业人员来说可能是一个挑战,延误了诊断和随后的管理。在极少数情况下,影像学检查可能有助于确认感染的起源,从而深入了解疾病的病因。我们描述了一个病例梗阻性半阴道和同侧肾异常(OHVIRA)综合征提出了恶臭阴道分泌物在一个新获得初潮的女孩在马来西亚半岛东北地区。我们还讨论了发生这种表现背后的理论和原因,以及当前病例的诊断困境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diagnostic challenge in a case of foul-smelling vaginal discharge in a newly attained menarche girl
Foul-smelling vaginal discharge in adolescents often stems from infectious origin, foreign body insertion, neoplasm, congenital anomaly, and sexual abuse. Diagnosing the causes of the discharge remains challenging, especially in cases where sexual and reproductive health awareness is relatively low in the population from marginalized ethnographies and socio-cultural backgrounds. Suspicion of sexual abuse must be explored carefully and sensitively. A history of sexual exposure might not be forthcoming in adolescents where premarital sex is frowned upon. The process of eliciting the causation may be a challenge to healthcare professionals, delaying the diagnosis and subsequent management. In rare circumstances, imaging studies may help confirm the origin of the infection, giving insight into the presentation’s aetiology. We describe a case of Obstructed Hemivagina and Ipsilateral Renal Anomaly (OHVIRA) Syndrome presented with foul-smelling vaginal discharge in a newly attained menarche girl in the North-East region of Peninsular Malaysia. We also discussed the theories and reasons behind the occurrence of such a presentation, along with the diagnostic dilemma in this current case.
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来源期刊
Proceedings of Singapore Healthcare
Proceedings of Singapore Healthcare MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
42
审稿时长
15 weeks
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