Lipschütz ulcer is an acute, non–sexually transmitted genital ulceration that predominantly affects adolescent girls. Its etiology remains uncertain, although it is frequently associated with preceding viral or bacterial infections [1]. We report the case of a 16-year-old girl who presented with painful, necrotic vulvar ulcers in a febrile post-diarrheal context (Figs 1a – 1c). Routine infectious serologies were negative, while stool culture isolated Salmonella spp. Abdominopelvic CT imaging demonstrated inflammatory-type colitis without evidence of gangrene. The clinical course was favorable under targeted antibiotic therapy, leading to complete healing of the lesions. This case highlights a typical presentation of Lipschütz ulcer triggered by a digestive bacterial infection due to Salmonella, an association only exceptionally reported in the literature. It underscores the importance of a thorough infectious workup when evaluating acute non–sexually transmitted genital ulcerations in adolescents.

Figure 1: (a) Necrotic vulvar ulcer with well-demarcated borders. (b) Clinical improvement of the vulvar lesions with early fibrin deposition. (c) Near-complete healing of the vulvar lesions.

REFERENCES

1.  Bazouti S, Omahsan L, Dikhaye S, Zizi N. Lipschütz ulcer:a rare diagnosis to keep in mind. Our Dermatol Online. 2018;9:294-5.