Septic sexually transmitted ulcerative vulval lesion in an in-school adolescent presenting as a gynaecological emergency

Abstract

Background: Sexually transmitted infections (STIs) are a significant health issue for adolescents, particularly in resource-limited settings. This case report presents a 19-year-old adolescent with a septic sexually transmitted ulcerative vulval lesion, highlighting the challenges in managing STIs in this demographic.
Management and Outcome: She was treated with intravenous ceftriaxone, tinidazole, and tablet azithromycin. After ten days, she was discharged in good condition, with no significant pelvic findings. Contact tracing was difficult due to her reluctance to identify sexual partners. She was counselled on abstinence, dual protection, and reproductive health, with a plan for follow-up and Pap smear screening.
Conclusion: This case highlights the importance of early diagnosis, treatment, and comprehensive sexual health education. It emphasizes the need for adolescent-friendly healthcare services, STI prevention strategies, and promoting dual contraceptive use to reduce STI-related morbidity in adolescents