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STI and Child Protection — RACP Paediatrics MCQ

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HardInfectious DiseaseSTI and Child ProtectionRACP Paediatrics

A 10-year-old child presents with painless firm inguinal lymphadenopathy. He has a painless genital ulcer. He denies sexual activity but examination is consistent with a syphilitic chancre. What is the mandatory reporting consideration?

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Correct answer: A — Mandatory reporting to child protection services for suspected child sexual abuse

A primary syphilitic chancre in a prepubertal child is pathognomonic of sexual transmission and constitutes suspected child sexual abuse. Mandatory reporting to child protection services is required in all Australian states and territories. Full STI screening and forensic medical assessment should be arranged.

Reference: RACP – 2024 – Paediatric Curriculum: Child Protection