Child sexual abuse (CSA) has a profound impact on physical and mental health. As well as causing physical injury, it is associated with an increased risk of a range of sexual and reproductive health problems, with both immediate and long-term consequences. Some children may display signs, symptoms or clues raising the suspicious that sexual abuse has occurred. The role of a comprehensive forensic medical examination is of major importance in the full investigation of such cases and the building of an effective prosecution in the court. Parasitic infestation may be associated with CSA and the medicolegal investigation help to discover such abuse. Thus, there is a need for protective service and child abuse law enforcement investigators to work together to establish a safe panel of routine investigations to cases of child abuse.