[Meningococcal vulvovaginitis in a prepubertal girl].
Neisseria meningitidis is an uncommon cause of vulvovaginitis in the prepubertal girl. The microorganism must not be mistaken for Neisseria gonorrhoeae, as the consequences of such an error may be serious. Colonization or infection by Neisseria meningitis is not uncommon in adolescents and adults. Vulvitis, even when it is recurrent, is not per se a good indicator of sexual abuse, but some microorganisms found by vaginal swab can make it possible, likely or certain. Sexual transmission of N. meningitidis has not been described in the prepubertal child.
Nathanson
M
M
Service de pédiatrie, hôpital Jean-Verdier, Assistance-publique-Hôpitaux-de-Paris, avenue du 14-Juillet, 93143 Bondy cedex, France. mireille.nathanson@jvr.ap-hop-paris.fr
Tisseron
B
B
de Pontual
L
L
D002675:Child, Preschool; D005260:Female; D006801:Humans; D008589:Meningococcal Infections / Q000175:diagnosis / Q000382:microbiology* / Q000635:transmission; D009345:Neisseria meningitidis / Q000472:pathogenicity*; D014848:Vulvovaginitis / Q000175:diagnosis / Q000382:microbiology*