Candidiasis, bacterial vaginosis, and trichomoniasis
account for most, but not all, vaginitis cases. Clinicians
must remain alert for uncommon cases that may
be encountered unexpectedly in daily practice. A
focused history, consistent visualization of the cervix,
palpation of the vaginal cavity, knowledge of unusual
causes of vaginitis, and maintenance of a broad differential
diagnosis will aid the clinician in providing
timely, effective, and, as illustrated by the last case,
potentially lifesaving treatment.