The inability of Neisseria gonorrhoeae to survive prolonged transit ti
mes and hostile ambient temperatures has made its detection at referra
l laboratories by cultural methods untenable. In this situation, relia
nce upon antigen detection systems is attractive but when these tests
are performed on vaginal specimens from children, false positive resul
ts are a significant concern. Some of the difficulties associated with
the investigation of a gonococcal infection resulting from sexual abu
se of a child in an isolated community are illustrated in this report.