Subject(s)
Child Advocacy , Forensic Pathology , Societies, Medical , Adolescent , Child , Child Abuse/diagnosis , Child Abuse/legislation & jurisprudence , France , HumansSubject(s)
Alginates/adverse effects , Aluminum Hydroxide/adverse effects , Amiodarone/adverse effects , Antacids/adverse effects , Anti-Arrhythmia Agents/adverse effects , Silicic Acid/adverse effects , Sodium Bicarbonate/adverse effects , Tachycardia, Supraventricular/drug therapy , Alginates/administration & dosage , Aluminum Hydroxide/administration & dosage , Amiodarone/administration & dosage , Antacids/administration & dosage , Anti-Arrhythmia Agents/administration & dosage , Drug Combinations , Drug Interactions , Gastroesophageal Reflux/drug therapy , Humans , Infant , Male , Silicic Acid/administration & dosage , Sodium Bicarbonate/administration & dosage , Treatment FailureABSTRACT
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.
Subject(s)
Meningococcal Infections/microbiology , Neisseria meningitidis/pathogenicity , Vulvovaginitis/microbiology , Child, Preschool , Female , Humans , Meningococcal Infections/diagnosis , Meningococcal Infections/transmission , Vulvovaginitis/diagnosisABSTRACT
Many Mycoplasma pneumoniae extra respiratory infections have already been reported. The authors report the case of an eight year old child, presenting with acute transverse myelitis, with a PCR proven involvement of M. pneumoniae in CSF as well as the presence of specific IgM in blood. Acute transverse myelitis may have many causes, most of the time viral. The mechanisms of neurological involvement in M. pneumoniae infections are still unclear, but several points indicate an immune reaction. Corticotherapy first i.v. then per os has proved to be an efficient treatment for acute myelitis. Antibiotherapy is discussed because of the undocumented mechanisms of neurological involvement related to the mycoplasma.
