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December 14, 1918


Author Affiliations

Chieng Rung, Yunnan, China.

JAMA. 1918;71(24):2014. doi:10.1001/jama.1918.02600500064018

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To the Editor:  —The article by Dr. Haines on "Acquired Genital Syphilis in the Infant" (The Journal, Feb. 9, 1918, p. 370) prompts me to report five cases of gonorrhea in early childhood that came to my notice at my former dispensary clinic in Chiengmai, Siam. I believe that this is a fairly rare condition anywhere. All five cases were in girls ranging from 2 to 7 years of age.A Chino-Lao girl, aged 2 years, complained of painful micturition. I suspected urinary calculus of the bladder, as this is very common; but examination showed the whole vulva smeared with a thin, creamy pus, a microscopic examination of which disclosed the gonococci in large numbers. I then questioned the father, who with practically no hesitation said that he had gonorrhea and that he had expressed some of the pus from his penis onto his finger and then deliberately rubbed it

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