PEDIATRICS Vol. 78 No. 4 October 1986, pp. 711-712
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Child-to-Child Transmission of Gonorrhea: Report of Asymptomatic Genital Infection in a Boy

JOHN J. POTTERAT BA1, GARY S. MARKEWICH MD1, RICHARD D. KING MD1, and LEE R. MERECICKY MS1

1 Sexually Transmitted Diseases Clinic, El Paso County Health Department and Department of Social Services, Colorado Springs

During the last decade, investigators have firmly associated the transmission of gonococcal infection to children with sexual abuse.1 Reports linking acquisition of disease with childhood sexual activity, however, have been sparse and scantily detailed.2-5 To our knowledge, asymptomatic gonococcal urethritis in a child has not previously been reported.

We present the clinical features and sociosexual circumstances surrounding gonococcal infection in three children younger than 10 years of age, two of whom acquired urethritis (one asymptomatically) from the third, and discuss the epidemiologic implications.

PROLOGUE

All patients described are white. The index case was a 4-year-old boy complaining of dysuria, meatal pus, and back pain of three days' duration.

Submitted on October 24, 1985
Accepted on January 23, 1986