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Article
May 15, 1926

BILATERAL GONORRHEAL SALPINGITIS IN A CHILD THREE DAYS AFTER INITIAL INFECTION

JAMA. 1926;86(20):1518. doi:10.1001/jama.1926.26720460002008a

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Abstract

This case is reported because it presents the following important features: A girl, aged 6½ years, was infected innocently by a careless mother; the disease spread into the tubes and the pelvic peritoneum within three days after the initial infection, and the child recovered after double salpingectomy and appendectomy with drainage.

The child was living at home when the mother was infected with gonorrheal vaginitis and endocervitis. Although the mother was warned against careless handling of her three girls and two boys, ranging between the ages of 3 and 10 years, this child did not escape. She had a strong desire to urinate when at school, but the teacher did not allow her to go out of the room, with the consequent result that she soiled herself. Ever since babyhood, she had had poor control of her bladder sphincter. On going home she was cleaned by the mother, who had

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