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Social Relevance of Genital Herpes Simplex in Children FREE

Karen M. Kaplan, MD; Gary R. Fleisher, MD; Jan E. Paradise, MD; Harvey N. Friedman, MD
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Am J Dis Child. 1984;138(9):872-874. doi:10.1001/archpedi.1984.02140470070024.
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• The charts of children younger than 13 years with culture-proved genital herpes simplex virus (HSV) were reviewed to determine how acquisition of the infection was documented and whether sexual abuse had been investigated. Six children (four girls and two boys) had genital HSV infection: five had type 1 HSV and one had type 2 HSV. None had serologic evidence of syphilis or culture-proved gonorrhea. Sexual abuse was documented in four of six patients. We concluded that genital HSV in children is frequently sexually transmitted and should always be considered a possible indicator of child abuse. Confirmation of HSV infection by culture is important to substantiate suspicious circumstances, since it may occur in the absence of either a history of sexual abuse or of other sexually transmitted diseases.

(AJDC 1984;138:872-874)

REFERENCES

Folland DS, Burke BS, Hinman AR:  Gonorrhea in preadolescent children: An inquiry into source of infection and mode of transmission . Pediatrics 1977;;60:153-156.
Seidel J, Zonana J, Totten E:  Condylomata acuminata as a sign of sexual abuse in children . J Pediatr 1979;;95:553-554.
Ginsburg CM:  Acquired syphilis in prepubertal children . Pediatr Infect Dis 1983;;2: 232-234.
 Sexually transmitted diseases: Treatment guidelines, 1982 . Rev Infect Dis 1982;;4( (suppl) ): S729-S746.
Krugman S:  Primary herpetic vulvovaginitis—report of a case: Isolation and identification of herpes simplex virus . Pediatrics 1952;;9: 585-588.
Scott TFM, Coriell L, Blank H, et al:  Some comments on herpetic infection in children with special emphasis on unusual clinical manifestations . J Pediatr 1952;;41:835-843.
Nahmias AJ, Dowdle WR, Naib ZM, et al:  Genital infection with herpesvirus hominis types 1 and 2 in children . Pediatrics 1968;;42:659-666.
Hare MJ, Mowla A:  Genital herpesvirus infection in a prepubertal girl . Br J Obstet Gynaecol 1977;;84:141-142.
Friedman HM, Koropchak C:  Comparison of WI-38, MRC-5 and IMR-90 cell strains for isolation of viruses from clinical specimens . J Clin Microbiol 1978;;7:368-371.
Mayo DR:  Differentiation of herpes simplex virus types 1 and 2 by sensitivity to (E)-5-(2-bromovinyl)-2′-deoxyuridine . J Clin Microbiol 1982;;15:733-736.
Lazar MP:  Primary herpetic vulvovaginitis . Arch Dermatol 1955;;72:272-274.
Jaffe AC:  Sexual abuse and herpetic genital infections in children . J Pediatr 1976;;89:338.
DeJong AR, Emmett GA, Hervada AA:  Epidemiologic factors in sexual abuse of boys . AJDC 1982;;136:990-993.

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References

Folland DS, Burke BS, Hinman AR:  Gonorrhea in preadolescent children: An inquiry into source of infection and mode of transmission . Pediatrics 1977;;60:153-156.
Seidel J, Zonana J, Totten E:  Condylomata acuminata as a sign of sexual abuse in children . J Pediatr 1979;;95:553-554.
Ginsburg CM:  Acquired syphilis in prepubertal children . Pediatr Infect Dis 1983;;2: 232-234.
 Sexually transmitted diseases: Treatment guidelines, 1982 . Rev Infect Dis 1982;;4( (suppl) ): S729-S746.
Krugman S:  Primary herpetic vulvovaginitis—report of a case: Isolation and identification of herpes simplex virus . Pediatrics 1952;;9: 585-588.
Scott TFM, Coriell L, Blank H, et al:  Some comments on herpetic infection in children with special emphasis on unusual clinical manifestations . J Pediatr 1952;;41:835-843.
Nahmias AJ, Dowdle WR, Naib ZM, et al:  Genital infection with herpesvirus hominis types 1 and 2 in children . Pediatrics 1968;;42:659-666.
Hare MJ, Mowla A:  Genital herpesvirus infection in a prepubertal girl . Br J Obstet Gynaecol 1977;;84:141-142.
Friedman HM, Koropchak C:  Comparison of WI-38, MRC-5 and IMR-90 cell strains for isolation of viruses from clinical specimens . J Clin Microbiol 1978;;7:368-371.
Mayo DR:  Differentiation of herpes simplex virus types 1 and 2 by sensitivity to (E)-5-(2-bromovinyl)-2′-deoxyuridine . J Clin Microbiol 1982;;15:733-736.
Lazar MP:  Primary herpetic vulvovaginitis . Arch Dermatol 1955;;72:272-274.
Jaffe AC:  Sexual abuse and herpetic genital infections in children . J Pediatr 1976;;89:338.
DeJong AR, Emmett GA, Hervada AA:  Epidemiologic factors in sexual abuse of boys . AJDC 1982;;136:990-993.

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