Abstract

MADRIGAL RAMIREZ, Edgar Alonso  and  ABARCA VILLALOBOS, Zarela. Medical legal aspects of the gonococcal infection: gonorrhea. Med. leg. Costa Rica [online]. 2007, vol.24, n.2, pp.107-122. ISSN 2215-5287.

The diagnose of a sexual transmission disease in a sexually abused victim must be adequately interpreted under the knowledge of its medical?-legal history, physical findings, lab results and the research of different ways of contagious. The goal of this bibliographic revisit is to update the knowledge about Gonorrhea, disease that affects mainly male and female genital mucosa, the eyes conjuntive, annal rectal area and the faringe. Under one year-old children means of transmission are usually ? by birth process or accidental contact, but evidence strongly suggest that gonorrea on children older than one year, pre-adolescents and adults, is sexually transmitted. The transmission via fomites (via fomites transmission?) has not been confirmed even though the micro-organism has been isolated in unanimated objects.  Due to legal implications of gonorrhea diagnose on children, it should only be used the standard culture procedure in order to isolate the germ.

Keywords : Gonorrhea; Neisseria gonorrhoeae; sexual abuse; transmission; fomites.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )