Severe Anogenital Warts in a Child with HIV Infection: A Case Report

Abstract

Objective: To highlight the possibility of nonsexual transmission of anogenital warts in children.
Materials and Methods: An illustration using a case that presented to the author.
Results: A five year old HIV-positive girl (vertically transmitted) with anogenital warts of 19 months duration is presented. She had never been sexually exposed. She responded well to treatment with Podophyllin solution applied topically twice weekly for a duration of two months. She is presently on highly active antiretroviral therapy.
Conclusion: A good history and physical examination are of essence in the evaluation of anogenital warts in children. The likelihood of sexual abuse should be entertained but nonsexual modes of transmission can occur.

Keywords: Anogenital warts, HIV, child

Nigerian Medical Journal Vol. 48 (2) 2007: pp. 49-50