Our expert says:
There are NO specific signs that a child may have been sexually abused, and most of the short lists which claim to do so are dangerously wrong. If there are good reasons to believe there may have been sexual abuse, only a careful assessment by a child psychologist or child psychiatrist, or some pediatricians with a special interest in this field, can do so reliably.
Herpes is not rare, and where a child might scratch the facial lesions and then might scratch her genitals, it is possible the child might spread the infection innocently. I don't recognize the variety of abscess you mention.
It is important for the adults involved not to panic and to remain calm. If one wants to ask a child about such possibilities ( and at 5 she would understand if something like that was occuring ) she is much more likely to be usefully informative if asked calmly and in the context of a warm, sympathetic and calm discussion of her symptoms, than is a panicky adult asks only about abuse possibilities.
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