This short paper discusses the implications of Trichomonas vaginalis infection of the genital tract in children with respect to suspected child abuse. Two case reports are described to illustrate the problems that can arise in the investigation of such cases. T. vaginalis is usually transmitted sexually but the potential for non-sexual transmission does exist.
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References
1.
Al-SalihiF.CurranJ.WangJ. (1974) Neonatal Trichomonas vaginalis: report of three cases and review of the literaturePaediatrics53, 196–200
2.
BramleyM. (1976) Study of female babies of women entering confinement with vaginal trichomoniasis. Brit. J. Vener. Dis.52, 58–62
3.
BurdiT.ReesC.ReardonL. (1959) Epidemiological studies on human trichomoniasis. Am. J. Trop. Hyg.8, 312–18
4.
FoutsA.KrausS. (1980) Trichomonas vaginalis: re-evaluation of its clinical presentation and laboratory diagnosis. J. Inf. Dis.142: 2137–43
5.
GrayL.KotcherE. (1960) Vulvovaginitis in childhood. Clin. Obstet. Gynecol.3, 165–74
6.
GrossiM.BuchmanM. (1959) Vaginitis in children. Am. J. Dis. Child.97, 613–15
7.
HammerschlagM.AlpertS.RosnerI. (1978) Microbiology of the vagina in children: normal and potentially pathogenic organismsPediatrics62, 57–62
8.
HellerR.JosephJ.DavisH. (1969) Vulvovaginitis in the pre-menarchal child. Pediatrics74, 370–77
ParadiseJ.CamposJ.FriedmanH.FrishmuthG. (1982) Vulvovaginitis in premenarchal girls: clinical features and diagnostic evaluationPediatrics70, 193–8
11.
RobertsonD.McMillanA.YoungH. (1989) Clinical Practice in Sexually Transmitted Diseases. 2nd ed.Edinburgh, Churchill Livingstone
12.
RobinsonS.HalifaxN. (1961) Observations on vaginal Trichomonas 1. In pregnancy. J. Can. Med. Ass.84, 948–9
13.
RosenfeldW.ClarkJ. (1989) Vulvovaginitis and cervitis. Adolescent Gyn.36, 489
14.
Royal College of Physicians of London (1991) Physical Signs of Sexual Abuse in Children. Apr. App. 4a.
15.
StreetD.Taylor-RobinsonD.AckersJ.HannaN.McMillanA. (1982) Evaluation of an enzyme-linked immunosorbent assay for the detection of antibody to Trichomonas vaginalis in sera and vaginal secretions. Br. J. Vener. Dis.58, 330–33
16.
WestonT.NicolC. (1963) Natural history of trichomonal infections in males. Br. J. Ven. Dis.39, 251–7
