[Treatment of purulent leukorrhea in young girls]

The case of a prepuberal girl complaining of a more or less purulent genital discharge, eventually associated with bleeding, evokes a vulvovaginitis. Vulvovaginitis is much less frequent than vulvitis. When a vulvovaginitis is resistant to medical treatment or is recurrent, an endoscopic examination is required in order to eliminate the presence of a vaginal foreign body. Treatment includes local cleaning, local antibiotics and sometimes a short course of oestrogen therapy. Oral antibiotics are indicated only in specific germ infections.