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Gonococcal Peritonitis in a Prepubertal Child

Gilbert L. Fuld, MD
Am J Dis Child. 1968;115(5):621-622. doi:10.1001/archpedi.1968.02100010623016.
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RECENT pediatric experience, while acknowledging the presence and problem of gonorrhea in premenarchial girls, has been concerned primarily with the social aspect of the problem, or ophthalmia neonatorum, vulvovaginitis, or arthritis. The most serious complications, such as endocarditis, arthritis, and pelvic inflammatory disease, are rare. The last condition receives scant attention, both in the standard pediatric textbooks1,2 and in a recent article on gonococcal infections in children.3 The purpose of this paper is to describe a case of probable peritonitis, caused by Neisseria gonorrheae, simulating an acute abdominal crisis.

Report of a Case  A 7½-year-old Negro girl developed mild abdominal discomfort without nausea or vomiting 36 hours before admission. Six hours before admission she developed fever, complained of nausea but did not vomit, and developed acute generalized lower abdominal pain. A profuse vaginal discharge was noted.The prepubescent Negro girl was in acute distress at the time of


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