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November 1971, Vol 122, No. 5 >
Article | November 1971

Symptomatic Anorectal Gonorrhea in an Adolescent Female FREE

William T. Speck, MD; Alan R. Lawsky, MD
[+] Author Affiliations

Received for publication April 19, 1971; accepted June 9.

Reprint requests to 622 W 168th St, New York 10032 (Dr. Speck).


Am J Dis Child. 1971;122(5):438-439. doi:10.1001/archpedi.1971.02110050108016.
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A 16-year-old girl presented with rectal burning. Results of physical examination were normal except for exudate in the anal canal. Neisseria gonorrhoeae was cultured from the rectal exudate. The urethral, vaginal, and cervical cultures were negative for this organism. Although most patients with anorectal gonorrhea are asymptomatic, some will present with rectal burning, tenesmus, and painful defecation. The diagnosis depends primarily upon an awareness of the condition and its symptoms.

REFERENCES

1 +
Fiumara NJ:  Venereal disease . Pediat Clin N Amer 16:333-345, 1969;.
2 +
Ekstrom K:  Patterns of sexual behavior in relation to venereal disease . Brit J Vener Dis 46:93-95, 1970;.
3 +
 New problems and old ones back again . Lancet 2:372-373, 1970;.
4 +
Barnett HL: Pediatrics , ed 14. New York, Appleton-Century-Crofts Inc, 1968;, pp 1397-1398.
5 +
Gellis SS, Kagan BM: Current Pediatric Therapy . Philadelphia, WB Saunders Co, 1970;, pp 588-589.
6 +
Nelson WE, Vaughan VC, McKay JR: Textbook of Pediatrics , ed 9. Philadelphia, WB Saunders Co, 1969;, p 1244.
7 +
Branch G, Paxton R:  A study of gonococcal infection among infants and children . Public Health Rep 80:347-352, 1965;.
8 +
Nazarian L:  The current prevalence of gonococcal infection among infants and children . Pediatrics 39:372-377, 1967;.
9 +
Schroeter AL, Pazing J:  Gonorrhea . Ann Intern Med 72:553-559, 1970;.
10 +
Pariser H, Marino A:  Gonorrhea-Frequently unrecognized reservoirs . Southern Med J 63:198-201, 1970;.
11 +
Schmale JD, Martin JE Jr, Domescik G:  Observations on the culture diagnosis of gonorrhea in women . JAMA 210:312-314, 1969;.
12 +
Cohn A, Steer A, Adler E:  Further observations on gonococcal vulvovaginitis . Amer J Syph Gono Ven Dis 25:329-338, 1941;.
13 +
Harkness AH:  Anorectal gonorrhea . Proc Roy Soc Med 41:476-478, 1948;.
14 +
Heimans AL:  Culture of gonococci from the rectum on Thayer and Martin's selective medium . Dermatologica 133:319-324, 1966;.
15 +
Ruys AC:  The etiology of vulvovaginitis infantum . JAMA 105:862-864, 1935;.
16 +
Schmale JD:  Serologic detection of gonorrhea . Ann Intern Med 72:593-595, 1970;.
17 +
Goodman L, Gilman A: The Pharmacological Basis of Therapeutics , ed 3. New York, Macmillan Co, 1965;, p 875.

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References

1 +
Fiumara NJ:  Venereal disease . Pediat Clin N Amer 16:333-345, 1969;.
2 +
Ekstrom K:  Patterns of sexual behavior in relation to venereal disease . Brit J Vener Dis 46:93-95, 1970;.
3 +
 New problems and old ones back again . Lancet 2:372-373, 1970;.
4 +
Barnett HL: Pediatrics , ed 14. New York, Appleton-Century-Crofts Inc, 1968;, pp 1397-1398.
5 +
Gellis SS, Kagan BM: Current Pediatric Therapy . Philadelphia, WB Saunders Co, 1970;, pp 588-589.
6 +
Nelson WE, Vaughan VC, McKay JR: Textbook of Pediatrics , ed 9. Philadelphia, WB Saunders Co, 1969;, p 1244.
7 +
Branch G, Paxton R:  A study of gonococcal infection among infants and children . Public Health Rep 80:347-352, 1965;.
8 +
Nazarian L:  The current prevalence of gonococcal infection among infants and children . Pediatrics 39:372-377, 1967;.
9 +
Schroeter AL, Pazing J:  Gonorrhea . Ann Intern Med 72:553-559, 1970;.
10 +
Pariser H, Marino A:  Gonorrhea-Frequently unrecognized reservoirs . Southern Med J 63:198-201, 1970;.
11 +
Schmale JD, Martin JE Jr, Domescik G:  Observations on the culture diagnosis of gonorrhea in women . JAMA 210:312-314, 1969;.
12 +
Cohn A, Steer A, Adler E:  Further observations on gonococcal vulvovaginitis . Amer J Syph Gono Ven Dis 25:329-338, 1941;.
13 +
Harkness AH:  Anorectal gonorrhea . Proc Roy Soc Med 41:476-478, 1948;.
14 +
Heimans AL:  Culture of gonococci from the rectum on Thayer and Martin's selective medium . Dermatologica 133:319-324, 1966;.
15 +
Ruys AC:  The etiology of vulvovaginitis infantum . JAMA 105:862-864, 1935;.
16 +
Schmale JD:  Serologic detection of gonorrhea . Ann Intern Med 72:593-595, 1970;.
17 +
Goodman L, Gilman A: The Pharmacological Basis of Therapeutics , ed 3. New York, Macmillan Co, 1965;, p 875.

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