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​Symptoms and Signs – Differential Diagnosis of Vaginal Discharge, Prepubertal Girls
• Associated systemic illness (group A streptococci, chickenpox)
• Chlamydia trachomatis
• Escherichia coli with foreign body
• Foreign body
• Infections
• Infections (consider sexual abuse)
• Irritative (bubble baths, sand)
• Neisseria gonorrhoeae
• Poor perineal hygiene
• Shigella organisms
• Trichomonas vaginalis
• Tumor (rare)
• Yersinia organisms
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