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Cunnilingus (Oral Vaginal Contact): Oral stimulation of a woman's vagina and/or Analingus (Oral Anal Contact): Stimulation of the partner's anus with tongue or lips. While the youth consider oral sex much “safer” than vaginal sex, this is a oral sex need to know that oral sex is associated with several STIs, including HIV. Back, chest, and vaginal pain▻ Fever and sore throat▻ Vaginal discharge and She also said that a week earlier, she'd had a fever that reached ° F and a sore throat. The labia were also swollen and diffusely tender to palpation. with EBV.1 While the infection is often asymptomatic, some patients will develop . As Dr. Kranz explains, “any inflammation on the vulvar tissue” could cause oral sex to be painful, and she adds that several infections do just.

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The mother of a year-old girl brought her daughter to our family medicine clinic for follow-up after being seen in the emergency department ED 3 days earlier. The girl had presented to the ED with a one-day history of back, chest, and vaginal pain. She was diagnosed with a urinary tract infection and treated empirically with phenazopyridine and cephalexin pending a urine culture.

Cunnilingus (Oral Vaginal Contact): Oral stimulation of a woman's vagina and/or Analingus (Oral Anal Contact): Stimulation of the partner's anus with tongue or lips. While the youth consider oral sex much “safer” than vaginal sex, this is a oral sex need to know that oral sex is associated with several STIs, including HIV. Some women like to use douches to clean the vagina, but in actuality, this is totally unnecessary. It can also be dangerous because, according. Back, chest, and vaginal pain▻ Fever and sore throat▻ Vaginal discharge and She also said that a week earlier, she'd had a fever that reached ° F and a sore throat. The labia were also swollen and diffusely tender to palpation. with EBV.1 While the infection is often asymptomatic, some patients will develop .

During the follow-up appointment, the patient complained of worsening vaginal pain and increased vaginal discharge, but reported resolution of her back and chest pain. A genitourinary GU exam revealed erythematous patches with small amounts of crusting at the inner labia bilaterally.

The labia were also swollen and diffusely tender to palpation. The physician was unable to place a speculum due to pain.

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The differential diagnosis at the time included candidal vaginitis and cellulitis. The antibiotics were stopped because the patient reported worsening symptoms after they were prescribed in the ED. The patient was told to return to the ED if she experienced signs and symptoms such as worsening vaginal pain or discharge, fever, or chills. A repeat urine culture was performed and the results came back normal. Doees

Worsening symptoms. Six days later, the patient returned to the ED with urinary hesitation and persistent dysuria; she was admitted for pain control.

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She also complained of worsening labial swelling and increased vaginal discharge despite adherence to the fluconazole and clotrimazole cream regimen, which were discontinued on admission to the ED. She continued to deny being sexually active or abused.

A GU exam showed a 1-cm shallow ulcer on the right labium and a copious amount of foul-smelling white discharge. Dos

The patient was given topical lidocaine for pain control and started on acyclovir for presumed HSV while awaiting the HSV test results. A pelvic ultrasound and laboratory work-up were ordered at this time as well.

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One review found only 13 instances of genital ulceration in females attributable to Epstein-Barr virus. The exact method by which Touunge causes the ulcers is unclear. The pelvic ultrasound showed that the uterus was a normal size and that there was no gross mass or significant pelvic fluid.

The patient had a negative urinary human chorionic gonadotropin test, and was negative for HSV, chlamydia, gonorrhea, and trichomoniasis. A wet prep was negative.

A mononuclear spot test monospothowever, was positive. Results from the monospot testing took several days to return.

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The diagnosis of infectious mononucleosis presenting with genital ulcer was made. Typical symptoms of infectious mononucleosis include extreme fatigue, fever, sore throat, and head and body aches.

The association between mononucleosis and genital ulcers is not well known, 3,4 and the exact method by which EBV causes genital ulcers is unclear. Skip to main content. Case Reports.

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J Fam Pract. THE CASE The mother of a year-old girl brought her daughter to our family medicine clinic for follow-up after being seen in the emergency department ED 3 days earlier.

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