Relato de Caso
HPV INFECTION IN SEXUAL ASSAULTS, CASE REPORT
Como citar: Santiesteban GM, Denis-Rodríguez E, Denis-Rodríguez P, López-Balderas N, Baltazar-Ramos JI, Huesca-Méndez J, González-Melo AP. HPV INFECTION IN SEXUAL ASSAULTS, CASE REPORT. Persp Med Legal Pericia Med. Vol. 11, 2026; 260425.
https://dx.doi.org/10.47005/260425
Recebido em 13/03/2026
Aceito em 02/04/2026
The authors report no conflict of interest.
HPV INFECTION IN SEXUAL ASSAULTS, CASE REPORT
Resumo
Introducción: En México no tiene un estudio de prevalencia de enfermedades de trasmisión sexual posterior a violación. Debido al riesgo de ETS, es necesaria una atención rápida, sensible y competente para las víctimas de agresión. Reporte de caso: Se trata de femenina de 33 años, Gesta 0, Enfermedades crónicas degenerativas negadas, refiere datos de alopecia. Alergias al fármaco Dextrebin, Antecedentes quirúrgicos con extracción de molares, Hemotipo A+, Tabaquismo Negativo. Como Antecedentes Gineco-Obstetricos. Menarca a los 12 Años, Ciclos irregulares, método de planificación familiar hace un año posterior a una violación hace 12 meses, posterior a un asalto por lo que acude a revisión ginecológica para su valoración de seguimiento. Durante la revisión ginecológica se le indico la aplicación de la vacuna preventiva para el virus del papiloma humano, la cual la paciente manifestó que no tenía servicio médico institucional y carecía de recursos para su comprarla. Se le dio cita a los seis meses y doce meses posteriores al evento para revisión ginecológica, durante la segunda consulta después del reporte de citología, colposcopia, que manifestaron positivos a Virus del Papiloma humano en el cuello, se le realizo toma de biopsia por colposcopia y PCR del cuello uterino que permitieron detectar una lesión de bajo grado en el cuello uterino misma que fue tratad. Discusión: La revisión protocolaria por seguimiento a una paciente por violación de cada seis meses, permite detectar enfermedades de trasmisión sexual en este caso lesión por Virus del Papiloma Humano, demuestra la importancia de que la paciente debió de ser vacunada. Conclusiones: Con el reporte del presente caso demostramos la utilidad que tiene la revisión de los pacientes por el servicio especializado en forma c
Palavras Chave: Enfermedades de Trasmisión Sexual, VPH, Agresión Sexual
Abstract
Introduction: In Mexico, there is no study on the prevalence of sexually transmitted infections following rape. Due to the risk of STIs, prompt, sensitive, and competent care is essential for victims of assault. Case report: This is a 33-year-old female, Gesta 0, no chronic degenerative diseases, reports alopecia. Allergies to the drug Dextrebin, surgical history with molar extraction, blood type A+, negative smoking history. Gynecological and obstetric history: Menarche at age 12, irregular cycles, family planning method for one year following a rape 12 months ago, following an assault, for which she sought a gynecological examination for follow-up assessment. During the gynecological examination, she was advised to receive the preventive vaccine for human papillomavirus, but the patient stated that she did not have institutional medical coverage and lacked the resources to purchase it. She was given appointments six months and twelve months after the event for gynecological check-ups. During the second consultation, after the cytology and colposcopy reports came back positive for human papillomavirus in the cervix, a colposcopy biopsy and PCR of the cervix were performed, which detected a low-grade lesion in the cervix, which was treated. Discussion: The protocol-based six-monthly follow-up examination of a patient for rape allows for the detection of sexually transmitted diseases, in this case a Human Papillomavirus lesion, demonstrating the importance of the patient having been vaccinated. Conclusions: With this case report, we demonstrate the usefulness of having patients reviewed by a specialized service on a regular basis every six months for a period of three years. This allows for the identification of sexually transmitted diseases that could subsequently affec
Keywords (MeSH): Sexually transmitted diseases, HPV, sexual assault
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