CHLAMYDIA-TRACHOMATIS AS A CAUSE OF PREPUBERTAL VAGINITIS

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  • 1 January 1985
    • journal article
    • research article
    • Vol. 65  (3) , 384-388
Abstract
C. trachomatis was encountered in 4 cases during the evaluation of 29 premenarchal girls with gynecologic complaints during 1983. Only 1 of the patients had antecedent infection with Neisseria gonorrhoeae. The importance of using specific tests to actively establish a definite diagnosis of chlamydia is stressed. The susceptibility of the thin premenarchal vaginal mucosa to chlamydial infection is discussed as is the role of chlamydia as a marker for sexual abuse. Once a diagnosis of chlamydial rectogenital infection is established in a child, it is mandatory to investigate for child abuse and sexual molestation as the source of the infection.

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