“The authorities must recognize that, although rare, gonorrhea can be transmitted without sexual contact, and should therefore not be considered as definitive evidence of abuse.”
This is how the article by two doctors in Journal of Medical Case Reports. One of the doctors is employed at the University of Auckland in New Zealand and the other at the University of Salzburg in Austria.
Gonorrhea is a venereal disease that is usually transmitted through sexual contact, writes Lommelegen.
“Today we report the unusual case in which a girl has been diagnosed with Neisseria gonorrhoeae (the bacterium that causes gonorrhea journ.anm.) After bathing in a very popular hot spring at the end of the crater lake Specchio di Venere (‘Venus’). mirrors “) on the island of Pantelleria in Italy”, the doctors write further.
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The girl began to have symptoms of gonorrhea two days after bathing in the hot spring.
After she had been to the doctor, she was then diagnosed with the venereal disease.
The girl has denied that she has had sex or been abused, and the doctors have not been able to identify any times when she may have had sexual contact with others.
Because of this, it was determined that she must have got the infection when she bathed.
Her entire family was also tested for gonorrhea, but no one else was infected.
– Extremely rare
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Senior adviser Øystein Nilsen in FHI works with gonorrhea monitoring in Norway. He says that if this is true, then it is a very unusual case.
– We can not deny that it may be possible, but if it is true, it is extremely rare, he says.
He says that you have never seen anything like this in Norway. If the eleven-year-old was infected in the water, she must have had very close contact with an infected person in the water, Nilsen explains.
– We can not rule out that she has been infected in this way, but it is extremely rare, and has no practical significance for how to treat gonorrhea, Nilsen says.
If, for example, you are in a whirlpool or a jacuzzi, then the chlorine in the water will ensure that you can not be infected in this way, according to Nilsen.
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– Close to body temperature
The researchers emphasize the importance of examining all cases of gonorrhea in children. Among other things, they point out historical cases where gonorrhea epidemics have occurred in, among other places, children’s hospitals, which are believed to have originated from a shared bathroom.
Doctors believe that the hot spring has made it possible for the gonococcal bacteria, which cause gonorrhea, to survive.
– The sources are shallow, close to body temperature, isotonic, slightly acidic due to CO₂ bubbles and contain organic particles. All of these elements potentially support the survival of gonococci, doctors write.
Nilsen in FHI emphasizes that the concentration of bacteria would in any case have been diluted when it entered water, which would have made it even more difficult for the bacteria to be able to transmit further.
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