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Whereas the mode of transmission is well understood and management of HPV infection is clearly defined by guidelines in adults, less is known about the mode of transmission, natural history of disease, and appropriate management of high\u2010risk anogenital HPV infections in children. <jats:italic>Case<\/jats:italic>. The patient is a previously healthy 6\u2010year\u2010old female who presented with multiple vaginal lesions causing pain and discomfort and was diagnosed with HPV 18 positive CIN I. <jats:italic>Summary and Conclusion<\/jats:italic>. Children infected with high\u2010risk HPV subtypes remain a vulnerable patient population, and there is minimal literature on the natural history of disease and effects of overtreatment. Based on a literature review, conservative management, HPV vaccination, and consideration of the cervical cancer screening guidelines for adolescent females are an appropriate treatment course until more studies are reported on cervical cancer screening in survivors of child sexual abuse.<\/jats:p>","DOI":"10.1155\/2017\/6014026","type":"journal-article","created":{"date-parts":[[2017,5,23]],"date-time":"2017-05-23T17:08:23Z","timestamp":1495559303000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A Discussion of High\u2010Risk HPV in a 6\u2010Year\u2010Old Female Survivor of Child Sexual Abuse"],"prefix":"10.1155","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1408-210X","authenticated-orcid":false,"given":"Connie 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