PT  - JOURNAL ARTICLE
AU  - Sara Limão
AU  - Ana Ventura
AU  - Gustavo Queirós
AU  - Florbela Cunha
TI  - Lipschütz ulcer and group A streptococcal tonsillitis
AID  - 10.1136/bcr-2017-223579
DP  - 2018 Jun 06
TA  - BMJ Case Reports
PG  - bcr-2017-223579
VI  - 2018
4099  - http://casereports.bmj.com/content/2018/bcr-2017-223579.short
4100  - http://casereports.bmj.com/content/2018/bcr-2017-223579.full
AB  - 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.