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GBS as a source of vaginitisFrom: maggiela@rochester.rr.comMon Apr 29 19:54:27 2002
Had a 40ish lady in the office today who usually sees our NP but was on my schedule. She was complaining of symptoms consistant with a BV but insisted that she had these symptoms because she had GBS. Had had it during a pregnancy (seen in urine but not on culture) and since then felt it had caused her numerous vaginitis episodes. Today she was complaining of increased discharge, slight odor and itching. Her husband also was experiencing the same symptoms and was anxious for her to be treated. On exam, she had a thin white discharge, some slight excoriation from the itching. Wet prep was negative- I was sure I'd see clue cells but did not. When I reviewed her chart, she had indeed been treated for this with Zithromax several times over the last few years by our NP. I did give her Zithromax today but I also did cultures to check for what organisms are really present. I'll do a search later on about this but my understanding of gbs was that it was essentially present in tthe vaginal flora of about 40% of women and that it did not cause any problems to them. Can GBS be a cause of vaginitis? Does anyone have any experience with this? Or did I just get manipulated into prescribing Z-pak needlessly?
-- Maggie, CNM
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