ABSTRACT

A 28-year-old female with a history of depression and previous bizarre behaviour presented with recurrent frequency and dysuria, plus pelvic pain and vaginal discharge. Urine culture showed significant bacterial infection. Relapsing infection occurred despite several courses of antibacterial therapy. Only after the vaginal discharge became extremely profuse, green and malodorous was vaginal examination carried out, and a retained tampon extracted. Following a further course of antibacterial therapy, her symptoms cleared completely and she was not troubled thereafter. No complaint was made by the patient which demonstrated, it may be felt, remarkable forbearance.