Journal of pediatric and adolescent gynecology
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J Pediatr Adolesc Gynecol · Dec 2012
Review Case ReportsToxic shock syndrome of a probable gynecologic source in an adolescent: a case report and review of the literature.
Toxic shock syndrome (TSS) is an acute toxin-mediated infectious syndrome characterized by fever, hypotension, desquamation, and multiorgan involvement. It is a rare condition (incidence of 0.79/100,000 women), particularly in the adolescent population, and it may be menstrual (mTSS) or non-menstrual (nmTSS) in origin. ⋯ We describe a rare case of TSS of a probable gynecologic source in a 15-year-old female who successfully responded to aggressive intensive care treatment. mTSS should be considered in the differential diagnosis of an adolescent presenting with signs of septic shock, particularly if there is a recent history of tampon use. Early intervention is critical to improving survival.
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J Pediatr Adolesc Gynecol · Dec 2012
Case ReportsOvarian torsion in a patient with müllerian agenesis: increased risk?
Patients with müllerian agenesis may be at an increased risk of ovarian torsion due to the absence of the utero-ovarian ligament and the fact that the ovary is not tethered to a fixed and relatively non-mobile structure, the uterus. ⋯ We present this case of ovarian torsion and müllerian agenesis, in order to highlight the association and to review potential risk factors.
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J Pediatr Adolesc Gynecol · Dec 2012
Case ReportsPaucibacillary tubercular vulval ulcer in a sexually inactive pubertal girl: role of therapeutic trial.
Genital ulcers in adolescent girls present a complex diagnostic dilemma. Of all the causes of painful vulval ulcer in a virgin girl, tuberculosis is an extremely rare possibility with no case reported in literature. ⋯ Unlike previous case reports that describe tubercular vulval ulcers in sexually active or post menopausal women our patient was sexually inactive. In endemic areas tuberculosis should be considered in differential diagnosis of vulval ulcers irrespective of sexual history of the patient.
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J Pediatr Adolesc Gynecol · Dec 2012
Menstrual patterns and gynecologic morbidity among university students in Kano, Nigeria.
To examine menstrual patterns and effects of menstrual disorders on social and academic lives of undergraduate students in Kano, Nigeria. ⋯ Gynecologic morbidity related to menstruation is common among adolescent Nigerians and is associated with detrimental effects on academic and social activities. Student health services should prioritize measures to mitigate the social and physical impact of menstrual disorders in young women.