Abstract
BackgroundNon-sexually active young females very rarely develop genital ulcers. Such ulcers pose a diagnostic challenge as well as physical and emotional distress for patients and family; therefore, the search for their etiology requires exhaustive investigation. Several viruses such as Epstein–Barr virus have been associated with this entity; however, Mycoplasma pneumoniae has rarely been linked to such ulcers in the literature. We present a case of vulvar ulcers in a non-sexually active young girl during the course of pneumonia caused by Mycoplasma pneumoniae.Case presentationA 10-year-old non-sexually active girl of cypriot origin presented at a hospital with fever, dry cough, and acute vulvar ulcers. Laboratory investigations as well as imaging studies revealed Mycoplasma pneumoniae as the cause of her pneumonia and acute vulvar ulcers.ConclusionsAlthough a rare cause of vulvar ulcers, Mycoplasma pneumoniae should be considered in the differential diagnosis of acute vulvar ulcers coexisting with respiratory symptoms.
Highlights
Non-sexually active young females very rarely develop genital ulcers
Conclusions: a rare cause of vulvar ulcers, Mycoplasma pneumoniae should be considered in the differential diagnosis of acute vulvar ulcers coexisting with respiratory symptoms
Several species are pathogenic in humans, the main one being M. pneumoniae, which is mainly responsible for respiratory tract infections
Summary
M. pneumoniae is a rare cause of acute genital ulcers in non-sexually active young females. It should be considered in the differential diagnosis especially if the ulcers are accompanied or preceded by symptoms from the respiratory tract. Despite the fact that vulvar ulcers in non-sexually active young females are a benign and selflimited condition, investigation of the cause of illness should exclude potential sexually transmitted diseases and could reassure both the patient and the family
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