ABSTRACT
This article describes the presentation of 4 adolescent girls who sought medical attention for severe vulvovaginitis and were subsequently found to have type 2 diabetes. Symptomatic vulvovaginitis is rare in adolescent girls, and its presence should alert health care providers to test for underlying hyperglycemia. These 4 girls represent 8.5% of the females with new-onset type 2 diabetes during a 3-year period (2007-2009). The 4 cases fulfilled the current Canadian Diabetes Association screening criteria for type 2 diabetes in youth, yet none of these girls had been screened. These cases highlight the need for better awareness of screening criteria for type 2 diabetes in adolescents. Consideration should be given in clinical practice guidelines to including the presence of unusual or severe infections as a risk factor for type 2 diabetes in youth.
Subject(s)
Diabetes Complications/diagnosis , Diabetes Mellitus, Type 2/diagnosis , Vulvovaginitis/diagnosis , Adolescent , Anti-Bacterial Agents/administration & dosage , Antifungal Agents/administration & dosage , Blood Glucose/metabolism , Candidiasis, Vulvovaginal/blood , Candidiasis, Vulvovaginal/diagnosis , Candidiasis, Vulvovaginal/drug therapy , Diabetes Complications/blood , Diabetes Complications/drug therapy , Diabetes Mellitus, Type 2/blood , Diabetes Mellitus, Type 2/drug therapy , Diagnosis, Differential , Drug Therapy, Combination , Escherichia coli Infections/blood , Escherichia coli Infections/diagnosis , Escherichia coli Infections/drug therapy , Female , Glycated Hemoglobin/analysis , Humans , Hypoglycemic Agents/adverse effects , Insulin/administration & dosage , Ketone Bodies/blood , Obesity/blood , Obesity/complications , Streptococcal Infections/blood , Streptococcal Infections/diagnosis , Streptococcal Infections/drug therapy , Streptococcus agalactiae , Vulvovaginitis/blood , Vulvovaginitis/drug therapyABSTRACT
A detecçäo de anticorpos anti-Herpesvírus Bovino tipo 1 (BHV-1) foi realizada, através da técnica de soroneutralizaçäo, em 1235 amostras de soro de bovinos adultos, näo vacinados contra Rinotraqueíte Infecciosa Bovina. As amostras de soro analisadas foram colhidas em 81 rebanhos, com histórico de problemas reprodutivos, incluindo animais com aptidäo para carne e leite, provenientes de 30 municípios do Estado do Paraná. Na amostragem proveniente de rebanhos leiteiros, 41,9 por cento (409/977) das amostras de soro e 90,5 por cento (57/63) dos rebanhos foram considerados positivos. Em bovinos de corte, o índice de soropositividade foi de 50,8 por cento (131/258) e 100 por cento (18/18) para amostras de soro e rebanhos, respectivamente. As frequências de 43,7 por cento (540/1235) de animais e 92,6 por cento (75/81) de rebanhos soropositivos demonstram que as infecçöes por BHV-1 apresentam-se amplamente disseminadas nas regiöes estudadas.
Subject(s)
Animals , Cattle , Cattle Diseases/epidemiology , Cattle Diseases/blood , Herpesvirus 1, Bovine , Herpesviridae Infections/epidemiology , Herpesviridae Infections/blood , Herpesviridae Infections/veterinary , Prevalence , Infectious Bovine Rhinotracheitis/epidemiology , Infectious Bovine Rhinotracheitis/blood , Vulvovaginitis/blood , Vulvovaginitis/epidemiology , Vulvovaginitis/veterinary , Serologic Tests/statistics & numerical data , Serologic Tests/veterinaryABSTRACT
Repeated gynecological affections have been detected in 26 out of 30 diabetic children. Therefore, it is important to do gynecological examinations in diabetic children. In addition, during a systematic check out, an impaired glucose tolerance has been found in 7 out of 18 children who presented inflammatory and itching gynecological affections. These findings emphasize the importance of systematical gynecological examination in childhood and adolescence in preventive medicine.
