23 July 2015

What's your diagnosis? – Case 21: burning sensation in vagina

Miss T has had an uncomfortable burning sensation in her vagina for five days. Read the case study below and see if you can figure out the problem.


Miss T, an 18 year old student, has been experiencing a burning sensation in her vagina for five days. At first she thought she might have a bladder infection and took Citro-Soda. The Citro-Soda made no difference.

A day ago she also noticed an itchy sensation in her vagina. A slight white, discharge has also appeared.

Miss T is sexually active, but insists on her partner using a condom. She also takes oral contraceptives. She reports to her GP that her partner does not have any symptoms that she is aware of.

She is generally healthy, with no previous medical or surgical history, except for a cold for which she took antibiotics which she got from one of her classmates. (The classmate had pneumonia which cleared, so she stopped taking the antibiotics!)


- On examination no significant systemic abnormalities were found.

- On vaginal examination the doctor noted a red, tender vagina with a grey-whitish discharge.

- Urine testing showed: trace of blood, leucocytes.

Based on the above, what is the most likely diagnosis?

What's your diagnosis? Join the guesswork on our Facebook page, or comment below.

NOTE: Health24's on-site GP Dr Owen Wiese will reveal new cases on Thursdays. We'll post the answer with the story on Mondays, or you can get it via the Daily Tip – sign up here.

Previously on What's Your Diagnosis?

What's your diagnosis? -  Case 1: vomiting and weight loss

What's your diagnosis? -  Case 2: eye pain

What's your diagnosis? -  Case 3: strange behaviour and a bullet in the back

What's your diagnosis? -  Case 4: seeing odd things

What's your diagnosis? - Case 5: mysterious lungs

What's your diagnosis? - Case 6: runner with seizures

What's your diagnosis? - Case 7: swollen knee

What's your diagnosis? - Case 8: bloody semen

What's your diagnosis? - Case 9: confusing neurological signs

What's your diagnosis? - Case 10: diabetic teenager with unusual signs and symptoms

What's your diagnosis? - Case 11: bruising with no apparent reason

What's your diagnosis? - Case 12: severe tummy pain

What's your diagnosis? - Case 13: severe sore throat

What's your diagnosis? - Case 14: abdominal pain and swelling

What's your diagnosis? - Case 15: the world is spinning

What's your diagnosis? - Case 16: numbness in forearm

What's your diagnosis? - Case 17: burning urine

What's your diagnosis? - Case 18: boy with persistent fever

What's your diagnosis? – Case 19: lady who can't lose weight

What's your diagnosis? – Case 20: chest pain next to breastbone

Image: Woman with uncomfortable problem from Shutterstock

Dr. Owen J. Wiese is Health24's resident doctor. After graduating from Stellenbosch University with additional qualifications in biochemistry and physiology he developed a keen interest in providing medical information through the media.


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