title: [A child presenting with fever and arthritis due to disseminated gonorrhoea].
abstract: A 12-year-old boy with Down's syndrome presented with fever, arthritis and petechiae. Investigations revealed the presence of disseminated gonorrhoea. The patient made a good recovery after antibiotic therapy. A contact investigation was carried out, as well as talks with the family and school, and the case was reported to the Child Abuse Advice and Report Centre. The gonorrhoea was found to be caused by incest. Sexual abuse should be suspected in every child (certainly over the age of 1 year) with a sexually transmitted disease.
authors.affiliation: Medisch Centrum Rijnmond-Zuid, locatie Zuider, afd. Kindergeneeskunde, Rotterdam. m.wiggers@erasmusmc.nl
authors.forename: M N L
authors.initials: MN
authors.lastname: Wiggers
authors.forename: A M
authors.initials: AM
authors.lastname: Oudesluys-Murphy
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001170:Arthritis, Infectious / Q000188:drug therapy / Q000209:etiology*; D002648:Child; D002650:Child Abuse, Sexual; D004314:Down Syndrome / Q000150:complications; D005334:Fever / Q000209:etiology / Q000382:microbiology; D006069:Gonorrhea / Q000150:complications* / Q000188:drug therapy*; D006801:Humans; D008297:Male; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents