RT Journal Article
SR Electronic
T1 Gonococcal Periappendicitis and Salpingitis in a Prepubertal Girl
JF Pediatrics
JO Pediatrics
FD American Academy of Pediatrics
SP 287
OP 288
VO 58
IS 2
A1 Auman, George L.
A1 Waldenberg, Leopold M.
YR 1976
UL http://pediatrics.aappublications.org/content/58/2/287.abstract
AB Gonorrhea is the most frequently reported infectious disease in the United States. Salpingitis and periappendicitis secondary to vaginal gonorrhea are not unusual in the mature woman, but are rare in the prepubertal girl. We are reporting a case of vaginal gonorrhea, acute salpingitis, and periappendicitis in a 5-year-old girl. CASE REPORT An acutely ill 5-year-old girl with a two-week history of a thick, nonpruritic vaginal discharge and an 18-hour history of fever, vomiting, and severe abdominal pain was admitted for evaluation. There was a negative history of dysuria, constipation, diarrhea, introduction of vaginal foreign body, coitus, and molestation. Vital signs on admission were: temperature, 39.7 C orally; pulse, 120 beats per minute; respiration, 36 breaths per minute; and blood pressure 100/60.