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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-10-01
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| Series: | Proceedings of Singapore Healthcare |
| Online Access: | https://doi.org/10.1177/20101058231209188 |
| _version_ | 1797655862947348480 |
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| author | Vincent Tee Ca W Ng Ahmad A Ismail Noor AH Che Hashim Nik R Afendi |
| author_facet | Vincent Tee Ca W Ng Ahmad A Ismail Noor AH Che Hashim Nik R Afendi |
| author_sort | Vincent Tee |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-11T17:20:47Z |
| format | Article |
| id | doaj.art-a785eb9d9e034c48ba14d1288ee3ed04 |
| institution | Directory Open Access Journal |
| issn | 2059-2329 |
| language | English |
| last_indexed | 2024-03-11T17:20:47Z |
| publishDate | 2023-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Proceedings of Singapore Healthcare |
| spelling | doaj.art-a785eb9d9e034c48ba14d1288ee3ed042023-10-19T13:33:35ZengSAGE PublishingProceedings of Singapore Healthcare2059-23292023-10-013210.1177/20101058231209188Diagnostic challenge in a case of foul-smelling vaginal discharge in a newly attained menarche girlVincent TeeCa W NgAhmad A IsmailNoor AH Che HashimNik R AfendiFoul-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.https://doi.org/10.1177/20101058231209188 |
| spellingShingle | Vincent Tee Ca W Ng Ahmad A Ismail Noor AH Che Hashim Nik R Afendi Diagnostic challenge in a case of foul-smelling vaginal discharge in a newly attained menarche girl Proceedings of Singapore Healthcare |
| title | Diagnostic challenge in a case of foul-smelling vaginal discharge in a newly attained menarche girl |
| title_full | Diagnostic challenge in a case of foul-smelling vaginal discharge in a newly attained menarche girl |
| title_fullStr | Diagnostic challenge in a case of foul-smelling vaginal discharge in a newly attained menarche girl |
| title_full_unstemmed | Diagnostic challenge in a case of foul-smelling vaginal discharge in a newly attained menarche girl |
| title_short | Diagnostic challenge in a case of foul-smelling vaginal discharge in a newly attained menarche girl |
| title_sort | diagnostic challenge in a case of foul smelling vaginal discharge in a newly attained menarche girl |
| url | https://doi.org/10.1177/20101058231209188 |
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