Child sexual abuse and gonococcal conjunctivitis. A case report

Area of Science:

• Ophthalmology
• Pediatrics
• Infectious Diseases

Background:

• Child sexual abuse is a serious concern with diverse clinical manifestations.
• Ophthalmic infections can sometimes be indicators of non-accidental trauma or abuse.

Observation:

• A 6-year-old girl presented with unilateral purulent conjunctival discharge.
• This ocular symptom prompted further investigation into potential underlying causes.

Findings:

• Neisseria gonorrhoeae was identified in both conjunctival and genital swabs.
• Subsequent genital examination and social work assessments confirmed child sexual abuse.

Implications:

• This case highlights the importance of considering sexual abuse in the differential diagnosis of pediatric conjunctivitis.
• Early recognition and intervention are crucial for the well-being of abused children.
• Ophthalmic findings can serve as critical clues in identifying and addressing child abuse.