gluten sensitivity A mixture of two proteins found in wheat and rye that is important for baking properties; when mixed with water, it becomes sticky and helps trap air in the dough. Sensitivity to gluten leads to celiac disease in children.
gonorrhea The most commonly reported communicable disease in the United States, most often affecting the genitourinary tract and sometimes the pharynx, eyes, or rectum. Sexual abuse should be strongly considered when a gonorrheal infection is diagnosed in a child older than newborn and prior to puberty. A sexually transmitted disease may be the only physical evidence of sexual abuse in some cases.
Reported rates of gonococcal infection range from 3 percent to 20 percent among sexually abused children. A gonococcal infection may be diagnosed in the course of an evaluation of a medical condition such as conjunctivitis, in which no suspicion of abuse existed, or it may be diagnosed during an assessment for possible sexual abuse. in preteens, gonococcal infection usually occurs in the lower genital tract, and vaginitis is the most common symptom. pelvic inflammatory disease occasionally occurs. infections of the throat and rectum typically do not have symptoms and may go unrecognized.
By law, all known cases of gonorrhea in children must be reported to the local health department and to a child protective services agency. An investigation should be conducted to determine whether other children in the same environment who may be victims of sexual abuse are also infected.
in addition, a child with a positive culture for the agent that causes gonorrhea should be examined for the presence of other sexually transmitted diseases (STDs) such as syphilis, chlamydia infection, hepatitis B, and HIV infection.
Was this article helpful?