Farrell and co-workers1 make a strong case for the suspicion of sexual abuse in all children who have vaginal cultures that are positive for Neisseria gonorrhoeae. We want to add our support to their conclusions with an additional contribution: to extend their findings to include throat cultures positive for N gonorrhoeae. We have found this to be true in children of both sexes victimized by sexual abuse. From January through December 1979 at our Children's Hospital National Medical Center we reviewed all cultures done on patients suspected of sex abuse.