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Kellogg ND, Farst KJ, Adams JA. Interpretation of medical findings in suspected child sexual abuse: An update for 2023. CHILD ABUSE & NEGLECT 2023; 145:106283. [PMID: 37734774 DOI: 10.1016/j.chiabu.2023.106283] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Revised: 05/12/2023] [Accepted: 06/07/2023] [Indexed: 09/23/2023]
Abstract
Health care professionals who examine children who may have been sexually abused need to be able to recognize, and photo-document any physical signs, and to have access to expert reviewers, particularly when signs concerning for sexual abuse are found. Although the general consensus among practitioners is that children will show few signs of sexual abuse on examination, there is considerable variability and rates of positive exam findings among practitioners of different professions, practice settings, and countries. This review will summarize new data and recommendations regarding the interpretation of medical findings and sexually transmitted infections (STIs); assessment and management of pediatric patients presenting with suspected sexual abuse or assault; and testing and treating patients for STIs. Updates to a table listing an approach to the interpretation of medical findings are presented, and reasons for changes are discussed.
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Affiliation(s)
- Nancy D Kellogg
- Department of Pediatrics, Division of Child Abuse, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, United States.
| | - Karen J Farst
- Department of Pediatrics-Children at Risk, University of Arkansas for Medical Sciences, Arkansas Children's Hospital, 4301 Markham Street, Little Rock, AR 72205, United States
| | - Joyce A Adams
- Department of Pediatrics, University of California San Diego, La Jolla, San Diego, CA 92093, United States
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Demirhan S, Foca M. A 9-Month-old Infant with Non-healing Oral Ulcers. Pediatr Infect Dis J 2023; 42:932-934. [PMID: 37729668 DOI: 10.1097/inf.0000000000003914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/22/2023]
Affiliation(s)
- Salih Demirhan
- From the Department of Pediatrics, Division of Pediatric Infectious Diseases, Children's Hospital at Montefiore
- Department of Pediatrics, Division of Pediatric Infectious Diseases, Albert Einstein College of Medicine
| | - Marc Foca
- From the Department of Pediatrics, Division of Pediatric Infectious Diseases, Children's Hospital at Montefiore
- Department of Pediatrics, Division of Pediatric Infectious Diseases, Albert Einstein College of Medicine
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Regueme A, Lesueur A, Catteau B, Tillard C, Wacrenier A, Cartier N, Lazrek M, Guigon A, Hober D, Alidjinou EK. Secondary syphilis in a 14-month-old girl and child-to-mother transmission. IDCases 2023; 31:e01713. [PMID: 36852408 PMCID: PMC9958271 DOI: 10.1016/j.idcr.2023.e01713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 02/10/2023] [Accepted: 02/11/2023] [Indexed: 02/15/2023] Open
Abstract
Syphilis cases in childhood are usually associated with congenital transmission. Acquired transmission is uncommon, and primarily related to sexual abuse or close contact/nursing with infected family members. We here describe a case of syphilis in a 14-month-old girl resulting from intrafamilial infection, with a subsequent transmission to her mother.
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Affiliation(s)
- Alexandre Regueme
- Univ Lille, CHU de Lille, Laboratoire de Virologie ULR3610, 59000 Lille, France
| | - Amélie Lesueur
- Univ Lille, CHU de Lille, Laboratoire de Virologie ULR3610, 59000 Lille, France
| | - Benoît Catteau
- CHU de Lille, Pôle Médecine, Clinique de Dermatologie, 59000 Lille, France
| | - Célia Tillard
- CHU de Lille, Pôle Enfant, Clinique de Pédiatrie, 59000 Lille, France
| | | | - Noémie Cartier
- Univ Lille, CHU de Lille, Laboratoire de Virologie ULR3610, 59000 Lille, France
| | - Mouna Lazrek
- Univ Lille, CHU de Lille, Laboratoire de Virologie ULR3610, 59000 Lille, France
| | - Aurélie Guigon
- Univ Lille, CHU de Lille, Laboratoire de Virologie ULR3610, 59000 Lille, France
| | - Didier Hober
- Univ Lille, CHU de Lille, Laboratoire de Virologie ULR3610, 59000 Lille, France
| | - Enagnon Kazali Alidjinou
- Univ Lille, CHU de Lille, Laboratoire de Virologie ULR3610, 59000 Lille, France,Correspondence to: Laboratoire de Virologie, Centre de Biologie Pathologie, CHU de Lille, Boulevard du Professeur Jules Leclercq, 59037 Lille, France.
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Beaudoin L, Puyol I, Robledo NL, Balestracci A. A 16-month-old boy with nephrotic syndrome of apparent idiopathic origin: Answer. Pediatr Nephrol 2023; 38:107-111. [PMID: 35695961 DOI: 10.1007/s00467-022-05607-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 04/04/2022] [Accepted: 04/05/2022] [Indexed: 01/10/2023]
Affiliation(s)
- Laura Beaudoin
- Nephrology Unit, Hospital General de Niños Pedro de Elizalde, Montes de Oca 40, 1270, Buenos Aires, Argentina.
| | - Iris Puyol
- Nephrology Unit, Hospital General de Niños Pedro de Elizalde, Montes de Oca 40, 1270, Buenos Aires, Argentina
| | - Natalia Luján Robledo
- Nephrology Unit, Hospital General de Niños Pedro de Elizalde, Montes de Oca 40, 1270, Buenos Aires, Argentina
| | - Alejandro Balestracci
- Nephrology Unit, Hospital General de Niños Pedro de Elizalde, Montes de Oca 40, 1270, Buenos Aires, Argentina
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Fournier A, Fines M, Verdon R. Neurosifilide. Neurologia 2022. [DOI: 10.1016/s1634-7072(22)47092-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
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Garcia LN, Morando N, Otero AV, Moroni S, Moscatelli GF, Gonzalez N, D Slojan A, Lascano F, Ballering G, Pando MA, Altcheh JM. Multilocus sequence typing of Treponema pallidum pallidum in children with acquired syphilis by nonsexual contact. Future Microbiol 2022; 17:1295-1305. [PMID: 36094429 DOI: 10.2217/fmb-2022-0064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Background: There are scarce data of Treponema pallidum subsp. pallidum (TPA) characterization in children with syphilis. Nonsexually acquired transmission (NSAT) of TPA is possible in infants through close contact. Methods: A descriptive study in five families with NSAT of syphilis was conducted. Polymerase chain reaction detection of TPA in pediatric index cases (n = 6) and their relatives (n = 44) were conducted followed by multilocus sequence typing (MLST). Results: TPA was detected in swab samples in 16 cases and 12 were characterized by MLST. Nichols lineage was identified in two of five families and SS14-lineage in three of five. In four families, MLST profiles linked index cases to relatives. Conclusion: This is the first report of TPA characterization in children infected by NSAT.
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Affiliation(s)
- Luciana N Garcia
- Servicio Parasitología-Chagas, Hospital de Niños Ricardo Gutierrez, Capital Federal, Buenos Aires, Argentina.,Instituto Multidisciplinario de Investigaciones en Patologías Pediátricas (IMIPP), CONICET - GCBA, Buenos Aires, Argentina
| | - Nicolás Morando
- Instituto de Investigaciones Biomédicas en Retrovirus y Sida (INBIRS) CONICET-Universidad de Buenos Aires, Buenos Aires, Argentina
| | - Adrián V Otero
- Servicio Parasitología-Chagas, Hospital de Niños Ricardo Gutierrez, Capital Federal, Buenos Aires, Argentina
| | - Samanta Moroni
- Servicio Parasitología-Chagas, Hospital de Niños Ricardo Gutierrez, Capital Federal, Buenos Aires, Argentina
| | - Guillermo F Moscatelli
- Servicio Parasitología-Chagas, Hospital de Niños Ricardo Gutierrez, Capital Federal, Buenos Aires, Argentina.,Instituto Multidisciplinario de Investigaciones en Patologías Pediátricas (IMIPP), CONICET - GCBA, Buenos Aires, Argentina
| | - Nicolás Gonzalez
- Servicio Parasitología-Chagas, Hospital de Niños Ricardo Gutierrez, Capital Federal, Buenos Aires, Argentina
| | - Alejandra D Slojan
- Servicio Parasitología-Chagas, Hospital de Niños Ricardo Gutierrez, Capital Federal, Buenos Aires, Argentina
| | - Fernanda Lascano
- Servicio Parasitología-Chagas, Hospital de Niños Ricardo Gutierrez, Capital Federal, Buenos Aires, Argentina.,Instituto Multidisciplinario de Investigaciones en Patologías Pediátricas (IMIPP), CONICET - GCBA, Buenos Aires, Argentina
| | - Griselda Ballering
- Servicio Parasitología-Chagas, Hospital de Niños Ricardo Gutierrez, Capital Federal, Buenos Aires, Argentina
| | - Maria A Pando
- Instituto de Investigaciones Biomédicas en Retrovirus y Sida (INBIRS) CONICET-Universidad de Buenos Aires, Buenos Aires, Argentina
| | - Jaime M Altcheh
- Servicio Parasitología-Chagas, Hospital de Niños Ricardo Gutierrez, Capital Federal, Buenos Aires, Argentina.,Instituto Multidisciplinario de Investigaciones en Patologías Pediátricas (IMIPP), CONICET - GCBA, Buenos Aires, Argentina
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