RESUMEN
Lipschütz ulcers (LU) are non-sexually related genital ulcers, rarely reported. We describe a healthy 11-year-old girl, who presented with fever and a painful vulvar ulcer associated with erythematous tonsillitis. Throat swab test for Group A Streptococcus (GAS) was positive. She was treated with amoxicillin. Further investigation was negative, including Herpes Simplex virus DNA from ulcer swab and serology for Epstein-Barr virus, cytomegalovirus and Mycoplasma pneumoniae Antistreptolysin O titre was high. The ulcer healed in 2 weeks, with no recurrence in a 1 year follow-up period. The association of LU with GAS tonsillitis is very rare.
Asunto(s)
Amoxicilina/uso terapéutico , Antibacterianos/uso terapéutico , Infecciones Estreptocócicas/microbiología , Tonsilitis/microbiología , Úlcera/microbiología , Enfermedades de la Vulva/microbiología , Niño , Femenino , Fiebre , Humanos , Infecciones Estreptocócicas/tratamiento farmacológico , Infecciones Estreptocócicas/fisiopatología , Tonsilitis/tratamiento farmacológico , Resultado del Tratamiento , Úlcera/tratamiento farmacológico , Úlcera/fisiopatología , Enfermedades de la Vulva/tratamiento farmacológico , Enfermedades de la Vulva/fisiopatologíaRESUMEN
Cyclosporine-induced haemolysis is a very rare adverse reaction. The few published cases in the literature are described in the context of haemolytic-uraemic syndrome in transplanted patients. We report a case of cyclosporine-induced haemolytic anaemia in a 9-year-old girl being treated for severe dermatomyositis.