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Unique mode of chlamydia transmission
  1. Kevin Borg1,
  2. Deborah Hodes1,2
  1. 1 Department of Paediatrics, University College London Hospital, London, UK
  2. 2 Royal Free Hospital, London, UK
  1. Correspondence to Dr Deborah Hodes, Department of Paediatrics, University College London Hospital, 250 Euston Road, London NW1 2PG, UK; deborah.hodes{at}

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We would like to highlight the importance of screening for chlamydia (CT) and gonorrhoea (GC) with a urine nucleic acid amplification testing (NAAT) in all symptomatic and asymptomatic children alleging child sexual abuse (CSA), in contrast to the recommendation made by Reading et al 1 who advise only screening symptomatic children.

A 10-year 9-month-old girl was referred for a paediatric opinion following her allegation that her stepfather had digitally penetrated her and fondled her breasts 10 days previously. Her mother had had suspicions after seeing her daughter jump away from her partner in the reflection of the kitchen window. The patient confirmed the allegation during …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.