A Rare Clinical Image of Malodorous Vulvar Cellulitis in Pregnancy

Abstract

A 29-year-old gravida 2, para 1 woman at 34 weeks gestation presented with complaints of vulvar swelling, erythema, foul-smelling discharge and pain for one month. Initial examination revealed localised tenderness and a malodorous discharge around the vulvar region [Table/Fig-1]. The patient reported no recent trauma or history of sexually transmitted infections. Ultrasound imaging was performed to rule out any deep-seated abscess or involvement of adjacent structures. Laboratory investigations, including a complete blood count and cultures, were conducted to identify the causative agent. Results indicated an elevated white blood cell count, and cultures confirmed the presence of a polymicrobial infection, including Streptococcus agalactiae and Escherichia coli.

Keywords

• abscess
• antimicrobial therapy
• infection
• obstetrics