Infection of the lower part of the genital tract in girls presents many peculiar and exasperating problems. Although it is resistant to treatment and has a marked tendency to recurrence, it tends to disappear spontaneously at puberty. Its mode of spread is uncertain. The standard methods of diagnosis and the criteria of cure are unsatisfactory. Nevertheless, the lower part of the genital tract in girls receives less clinical attention than any other part of the body. Even in a girl with known pyuria, the presence of pus in the vagina is not uncommonly overlooked.
Nor is the importance of this type of infection as a social problem widely enough appreciated, particularly that of the sporadic form in the patient who is treated in the clinic and in the private patient. While so-called gonorrheal vulvovaginitis is generally recognized as an important institutional problem, it is commonly neglected in the outpatient, the