P KZN MYCOPLASMA NSAGU

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Nonsexually acquired genital ulceration (NSAGU), also known as Lipschütz ulcers, is clinically characterized by acute painful genital ulcerations in young women and girls.^1-3 Although various causative pathogens have been documented in the development of NSAGU, the involvement of Mycoplasma fermentans has not previously been proven. We report herein the cases of 3 consecutive patients with NSAGU associated with a recent M fermentans infection. We describe 1 of these cases in detail.

Report of a Case

A girl in her teens presented with a painful genital ulcer. She had noticed high-grade fever, nasal discharge, and cervical lymphadenopathy 3 weeks prior to the appearance of the genital lesion, and cefcapene pivoxil hydrochloride had been administered by her family physician, with no improvement. On examination, she showed a severe aphtha, 25 mm in diameter, with marked edema on the left major labium. The ulcer had an overlying adherent gray-brown eschar (Figure). The patient had never had any sexual contact and had no history of genital herpes infection.

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