Foreign Body in Vagina - An Unusual Presentation.

Foreign bodies in the vagina in paediatric population are not commonly suspected. The presentation of such cases is similar to that of pathological diseases of cervix and the vagina like vaginitis and cervicitis which are more common. Infections of young female genital tract are common because of higher pH, relatively low oestrogen level and unfavourable bacterial flora.(1)Foreign bodies in the vagina are usually introduced accidently and history is negative. Patients commonly present with blood stained discharge, foul smelling pus, pain in the abdomen, dysuria or constipation. Symptoms secondary to vaginal foreign body account to 4 % of paediatric population visiting gynaecological OPD as reported by Dahiya et al.(2) In girls <6 years of age, who underwent examination under general anaesthesia, aetiology of vaginal discharge in 45 % of the cases was found to be foreign body. He has suggested that it is becoming important in most settings to organize special gynaecology clinics for pre-pubertal girls in order to develop special knowledge and skills needed in paediatric gynaecology. Here we report a case of pre-pubertal girl with vaginal foreign body not responding to medical line of management (antibiotics), rendering further evaluation for vaginal discharge. Unusual scenario in this report is a simple case which remained undiagnosed for one year. Another issue was absence of mother from the scene and constant denial by father to bring her which raises the suspicion of sexual abuse.

Seroprevalence of Brucella Agglutinins in Patients with Pyrexia of Unknown Origin Attending a Tertiary Care Rural Hospital.

Human brucellosis is a zoonosis with worldwide distribution, with great importance in developing countries like India. The diagnosis of brucellosis is frequently difficult to establish as it mimics many other infectious and non-infectious diseases. The use of feasible diagnostic tests seems to be great importance for diagnosing human brucellosis. The present study was carried out to study the seroprevalence of human brucellosis by estimating IgG and IgM by ELISA in central India.METHODSA total of 124 serum samples were collected over a period of one year, and processed in a tertiary care teaching hospital in central India. Serum samples of patients admitted to the hospital with the diagnosis of pyrexia of unknown origin (PUO) were investigated for detectable IgG and IgM antibodies by ELISA. The observance values thus obtained were converted to Nova Tec Unit (NTU) by using the formula according to the manufacturer’s instructions.RESULTSOf the total of 124 serum samples, ELISA detected presence of IgG antibodies in 12 (9.67%) indicating chronic infection and IgM antibodies in 28 (22.58%) suggesting acute and recent infection.CONCLUSIONSELISA has the ability to measure two specific immunoglobulins for effective diagnosis and is also a rapid method for detecting seroprevalence of human brucellosis in the community.