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May 1990

Gonococcal Conjunctivitis in Prepubertal Children

Author Affiliations

From the Division of Emergency Medicine, St Christopher's Hospital for Children, and the Department of Pediatrics, Temple University School of Medicine (Drs Lewis and Joffe); the Division of Neurology, Children's Hospital of Philadelphia, and the Department of Neurology, University of Pennsylvania School of Medicine (Dr Glauser), Philadelphia, Pa.

Am J Dis Child. 1990;144(5):546-548. doi:10.1001/archpedi.1990.02150290040022

• Four prepubertal children had confirmed gonococcal conjunctivitis. All were febrile and had hyperpurulent conjunctival discharge with periorbital inflammation. Cultures of pharyngeal, rectal, and genital specimens on selective media excluded infection at other sites. Detailed social evaluation revealed no evidence or suspicion of sexual abuse. Isolated gonococcal conjunctivitis occurs in prepubertal children. Unlike gonococcal infections at other locations, a nonsexual mode of transmission may exist. However, a careful physical examination and detailed social evaluation, looking for signs of sexual abuse, must be obtained in any prepubertal child with a gonococcal infection.

(AJDC. 1990;144:546-548)