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Re: GBS as a source of vaginitis From: Charlie Chambers (cchamber@gorge.net) Tue Apr 30 10:28:09 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Charlie Chambers: "Re: I've never seen a prolapse this bad." Previous message: Griffiths Malcolm: "Re: Twins case part I" In reply to: maggiela@rochester.rr.com: "GBS as a source of vaginitis" Next in thread: Steve & Eryl Raymond: "Re: GBS as a source of vaginitis" needless use of Zpack. Normal flora. In addition, you'll never be able to eradicate the organism indefinitely. On Monday, April 29, 2002, at 05:55 PM, maggiela@rochester.rr.com wrote: > 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 > ************************************************************************** ** Charlie Chambers -- Hood River, OR cchamber@alumni.rice.edu "Almost anything you do will seem insignificant but it is very important that you do it....You must be the change you wish to see in the world" -- Mahatma Ghandi. ************************************************************************** ***** Next message: Charlie Chambers: "Re: I've never seen a prolapse this bad." Previous message: Griffiths Malcolm: "Re: Twins case part I" In reply to: maggiela@rochester.rr.com: "GBS as a source of vaginitis" Next in thread: Steve & Eryl Raymond: "Re: GBS as a source of vaginitis"

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