{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T05:47:23Z","timestamp":1790401643995,"version":"4.1.0"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,5,18]]},"abstract":"<jats:p>\n                    Lipsch\u00fctz ulcers (LU) are non-sexually related genital ulcers, rarely reported. We describe a healthy 11-year-old girl, who presented with fever and a painful vulvar ulcer associated with erythematous tonsillitis. Throat swab test for Group A Streptococcus (GAS) was positive. She was treated with amoxicillin. Further investigation was negative, including Herpes Simplex virus DNA from ulcer swab and serology for Epstein-Barr virus, cytomegalovirus and\n                    <jats:italic>Mycoplasma pneumoniae<\/jats:italic>\n                    . Antistreptolysin O titre was high. The ulcer healed in 2\u2009weeks, with no recurrence in a 1\u2009year follow-up period. The association of LU with GAS tonsillitis is very rare.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2017-223579","type":"journal-article","created":{"date-parts":[[2018,6,7]],"date-time":"2018-06-07T01:55:20Z","timestamp":1528336520000},"page":"bcr-2017-223579","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Lipsch\u00fctz ulcer and group A streptococcal tonsillitis"],"prefix":"10.1136","volume":"2018","author":[{"given":"Sara","family":"Lim\u00e3o","sequence":"first","affiliation":[{"name":"Pediatric Department, Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Ventura","sequence":"additional","affiliation":[{"name":"Pediatric Department, Hospital de Santa Maria, Lisboa, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo","family":"Queir\u00f3s","sequence":"additional","affiliation":[{"name":"Pediatric Department, Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florbela","family":"Cunha","sequence":"additional","affiliation":[{"name":"Pediatric Department, Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,6,6]]},"reference":[{"key":"2025082803344210000_2018.jun06_1.bcr-2017-223579.1","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.ejogrb.2015.07.016","article-title":"Lipsch\u00fctz ulcers: should we rethink this? 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