Klebsiella rhinoscleromatis에 의한 외음부질염 1예 = A Case of Vulvovaginitis caused by Klebsiella rhinoscleromatis

다국어 초록 (Multilingual Abstract)

A 6-year-old girl presented with foul-odored vaginal discharge of 1 month duration. She was born of uncomplicated first full-term gestation, and the birth weight was 3,500g. Examination disclosed no abnormality. We repeatedly isolated Klebsiella rhinoscleromatis from vaginal discharge during a week. The isolated organism was gram negative bacilli, grew on blood agar and McConkey agar and identified as Klebsiella rhinosclerarotis by using AlR32GN (API system, La Balrre-Les Grottes, France). By conventional biochemical tests, glucose was fermented with the production of acid and gas. Methyl red and malonate utilization were positive, while Voges-Prouskauer (VP) reaction, citrate utilization, urease, phenylalanine deaminase, lysine decarboxylase, arginine dihydrolase, ornithine decarboxylase, motility and DNase were negative. AII these biochemical findings were compatible with Klebsiella rhinosclerarotis. The isolate was susceptible to various antibiotics such as kanamycin, gentamicin, amikacin, tetracycline, chloramphenicol, cephalothin, cefoperazone, ampicillin, carbenicillin. colistin and piperacillin.