2021, Number 5
Lipschutz ulcers and Campylobacter jejuni: report of two cases
Delgado-Martín MV, Cano de Santayana-Domínguez ME, Feito-Caldas C
Full text
Language: Spanish
References: 8
Page: 247-250
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ABSTRACT
Background: Cases of Lipschutz ulcers are rare, necrotic in appearance, very painful and rapidly progressive. They mainly affect sexually inactive adolescent girls. Although they are usually associated with a primoinfection by Epstein Barr virus or other pathogens, in most cases the infectious agent is not isolated.Objective: To report two cases and to disseminate the possible association of Lipschütz ulcers with the infectious agent Campylobacter jejuni, even in recurrences.
Clinical case: Pediatric patients aged 10 and 12 years in whom painful genital ulcers appeared in the context of fever and diarrhea and were diagnosed as Lipschütz ulcers. The stool culture isolated Campylobacter jejuni as a concomitant pathogen. In the 12-year-old patient there was a recurrence of ulcers, one year after the first episode that required hospitalization for pain control, with a very good response to the first dose of steroids. In both cases the evolution was satisfactory with disappearance of the lesions in a few weeks, without the need for antibiotic treatment, despite bacterial growth in the stool culture.
Conclusions: Despite their low frequency, Lipschütz ulcers should be kept in mind in the differential diagnosis of genital ulcers, especially in patients who have not become sexually active, and the coexistence of Campylobacter jejuni, among other pathogens, should be investigated.
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