Should enterobiasis be considered during the examination of sexually abused children?

KILIÇ, Serbülent

Should enterobiasis be considered during the examination of sexually abused children?

Serbulent Kilic (Bursa Yuksek Ihtisas Training and Research Hospital, University of Health Sciences, Department of Forensic Medicine, Bursa,)

Medicine Science

9 0

Yıl: 2021 Cilt: 10 Sayı: 2 Sayfa Aralığı: 317 - 320 Metin Dili: İngilizce İndeks Tarihi: 10-02-2022

Should enterobiasis be considered during the examination of sexually abused children?

Öz:

The medical rape examination has some difficulties and sometimes genital findings can be confusing for the examiner. In this study, the sexually abused children with anal rape were focused on. Perianal reddening due to itching is important. It is known that one of the parasitic diseases that cause anal pruritus is enterobiasis. A person infected with Enterobius vermicularis can occasionally scratch his/her perianal region and make a reddening in the anal region mimicking sexual abuse. The present study aimed to determine the rate of reddening in the anal region due to enterobiasis. 24 sexually abused children and 24 healthy participants were recruited in this study to determine the seen ratio of enterobiasis in sexually abused children by using the transparent tape method. Three of 24 sexually abused children were found infected. No infection was seen in any control group member. The seen ratio of enterobiasis was not significantly associated with sexual abuse history (P=0,234). No difference was not seen in the two groups in terms of enterobiasis. The rate of enterobiasis in sexually abused children was 12.5% in the current trial, a finding that should encourage the practitioners to consider the possibility of enterobiasis infection during the examination of the genialia.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

Jewkes R, Christofides N, Vetten L, et al. Medico-legal findings, legal case progression, and outcomes in South African rape cases: a retrospective review. PLoS Med. 2009;6:1000164.
Kini N, Brady WJ, Lazoritz S. Evaluating child sexual abuse in the emergency department: clinical and behavioral indicators. Acad Emerg Med. 1996;3:966-76.
Trindade LC, Linhares SMGM, Vanrell J, et al. Sexual violence against children and vulnerability. Rev Assoc Med Bras. 2014;60:70-4.
Beware child maltreatment. http://www.who.int/mediacentre/factsheets/ fs150/en/ access date 01/08/2020.
Beware the number of sexual crimes. https://biruni.tuik.gov.tr/ medas/?kn=98&locale=tr access date 01/08/2020.
Beware Turkish Penal Code, numbers 103 and 104. http://www.resmigazete. gov.tr/eskiler/2004/10/20041012.htm/ access date 01/08/2020.
Hwa HL, Chen SC, Wu MZ et al. Analysis of cases of sexual assault presenting at a medical center in Taipei. Taiwan J Obstet Gynecol. 2010;49:165-9.
Beware Enteric Nematodes of Humans. https://www.ncbi.nlm.nih.gov/books/NBK8261/ access date 01/08/2020.
Kucik CJ, Martin GL, Sortor BV. Common intestinal parasites. Am Fam Physician. 2004;69:1161-8.
Beware pinworm infection. https://www.cdc.gov/parasites/pinworm/ access date 01/08/2020.
El-Ashaal YI, Al-Olama AK, Abu-Zidan FM. Trans-anal rectal injuries. Singapore Med J. 2008;49:54-6.
Drocton P, Sachs C, Chu L, Wheeler M. Validation set correlates of anogenital injury after sexual assault. Acad Emerg Med. 2008;15:231-8.
Lal S, Singh A, Vaid NB, et al. Analysis of sexual assault survivours in a tertiary care hospital in delhi: a retrospective analysis, J Clin Diagn Res. 8:OC09-12.
Hobbs CJ, Wright CM. Anal signs of child sexual abuse: a case-control study. BMC Pediatr. 2014;27;14:128.
Sommers MS, Zink TM, Fargo JD, et al. Forensic sexual assault examination and genital injury: is skin color a source of health disparity? Am J Emerg Med. 2008;26:857-66.
Silva WDS, Ribeiro FM, Guimaraes GK, et al. Factors associated with child sexual abuse confirmation at forensic examinations. February 2018, Cien Saude Colet. 2018;23:599-606.
Pau-Charles I, Darwich-Soliva E, Grimalt R. Skin Signs in Child Abuse, Actas Dermosifiliogr. 2012;103:94-9.
Adams JA. Evaluating children for possible sexual abuse. Am Fam Physic. 2001;63:843-4, 846.

APA	KILIÇ S (2021). Should enterobiasis be considered during the examination of sexually abused children?. , 317 - 320.
Chicago	KILIÇ Serbülent Should enterobiasis be considered during the examination of sexually abused children?. (2021): 317 - 320.
MLA	KILIÇ Serbülent Should enterobiasis be considered during the examination of sexually abused children?. , 2021, ss.317 - 320.
AMA	KILIÇ S Should enterobiasis be considered during the examination of sexually abused children?. . 2021; 317 - 320.
Vancouver	KILIÇ S Should enterobiasis be considered during the examination of sexually abused children?. . 2021; 317 - 320.
IEEE	KILIÇ S "Should enterobiasis be considered during the examination of sexually abused children?." , ss.317 - 320, 2021.
ISNAD	KILIÇ, Serbülent. "Should enterobiasis be considered during the examination of sexually abused children?". (2021), 317-320.

APA	KILIÇ S (2021). Should enterobiasis be considered during the examination of sexually abused children?. Medicine Science, 10(2), 317 - 320.
Chicago	KILIÇ Serbülent Should enterobiasis be considered during the examination of sexually abused children?. Medicine Science 10, no.2 (2021): 317 - 320.
MLA	KILIÇ Serbülent Should enterobiasis be considered during the examination of sexually abused children?. Medicine Science, vol.10, no.2, 2021, ss.317 - 320.
AMA	KILIÇ S Should enterobiasis be considered during the examination of sexually abused children?. Medicine Science. 2021; 10(2): 317 - 320.
Vancouver	KILIÇ S Should enterobiasis be considered during the examination of sexually abused children?. Medicine Science. 2021; 10(2): 317 - 320.
IEEE	KILIÇ S "Should enterobiasis be considered during the examination of sexually abused children?." Medicine Science, 10, ss.317 - 320, 2021.
ISNAD	KILIÇ, Serbülent. "Should enterobiasis be considered during the examination of sexually abused children?". Medicine Science 10/2 (2021), 317-320.