1 / 14

Sexually Transmitted Diseases

. 2. Chlamydia: Urethritis, Lymphogranuloma venereum3. Protozoa: Trichomonas vaginalis4. Fungal: Candida albicans5. Parasite: Acarus scabeii---- Scabeis Phthirus pubis----Pediculosis6. Viruses: HPV------- Genital warts HSV---- Genital herpes simplex

cynara
Download Presentation

Sexually Transmitted Diseases

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. Sexually Transmitted Diseases Causative Agents: 1.Bacterial: A. Spirochetes: Treponema pallidum B. Nesseria gonorrhea: Gonorrhea C. Haemophilus Ducreys: Chancroid D. Donovan granulomais: Granuloma inguinale

    2. 2. Chlamydia: Urethritis, Lymphogranuloma venereum 3. Protozoa: Trichomonas vaginalis 4. Fungal: Candida albicans 5. Parasite: Acarus scabeii---- Scabeis Phthirus pubis----Pediculosis 6. Viruses: HPV------- Genital warts HSV---- Genital herpes simplex Pox virus ------ Molloscum contagiosum HIV ------- AIDS HBV --------- Hepatitis

    3. Clinical Presentations 1. Itching: scabies, pediculosis, trichomoniasis, candidiasis 2. Genital ulcer: Primary syphilis. Cutaneous manifestations of secondary syphilis. Herpes progenitalis. Chancroid. Gummatous Ulceration of tertiary syphilis. Lymphogranuloma venereum granuloma Inguinale .

    4. 3. Papulonodular lesions: a. venereal warts ”Condylomata accuminata” b. Molloscum contagiosum c- Condylomata lata 4. Discharge: urethral or vaginal discharge 5. Systemic manifestations: Syphilis, Reiters syndrome, AIDS, Hepatitis

    5. Urethral Discharge Gonorrhea Neisseria gonorrhoeae: Gram-negative diplococci - coffee bean The target organs: urethra, cervical mucosa, pharynx, conjuctiva or anorectum Mode of Transmission Incubation Period: 2-5 days

    6. Clinical Features I. Males: Comlications: 1. Tysons gland infection: both sides of freulum of penis 2. Litters gland infection: Periurethral abscess 3. Cowpers glands infection: base of prostate 4. Acute prostatis 5. Chronic prostatis 6. vesiculitis, epidedymitis, epidedymoorchitis 7. Cystitis 8. Disseminated gonococcal infestion

    7. II. Females: Comlications: 1. Skenes glands infection: periurethal abscess or urethral stricture 2. Bartholin gland infection: cyst 3. Pelvic inflammatory disease: infertility

    8. Extragenital Gonorrhea 1. Proctitis 2. Ophthalmia neonatorum 3. Mouth and throat: pharyngitis 4. Disseminated gonococcal infection: arthriris, Tenosynovitis, endocarditis, meningitis, skin lesions

    9. Diagnosis 1. History 2. Urethral or endocervical smear 3. Two- glass urine test 4. Two- catch urine test 5. Culture: "chocolate" agar, Thayer-Martin medium 6. Oxidase test and sugar utilization test

    10. Treatment - treatment of partner - combined infection is common Single-Dose regimen: in uncomplicated gonorrhea Ceftriaxone 125 mg – i.m. injection Cefixime 400 mg- oral Ofloxacin 400 mg- oral Ciprofloxacin 500 mg- oral Levofloxacin 250 mg- oral Spectinomycin- 2gm Kanamycin- 2gm Cefotaxime- 500 mg

    11. In Disseminated gonococcal infection: The above drugs given 2-3 times/days for 3-10 days according to site and response Multiple dose regimen: Tetracycline 250mgX4 for 10 days Doxycycline 100mgX2 for 10 days Metheprim tablets 2X2 for 10 days

    12. Non- Gonococcal urethritis 1. Chlamydia trachomatis 50% 2. Bacteria: E. coli, Klebsiella, Proteus, Haemophilus vaginalis, ureaplasma urealyticum, intraurethaurethral chancre. 3. Viral: intraurethral H. simplex or wart 4. Protozoal: trichomonas vaginalis 5. Fungal: candidiasis 6. Stricture 7. Food and drug allergy 8. Chemical: strong detergents 9. True non- pecific urethritis

    13. Chlamydial urethritis The incubation period Clinical features: 1. in males: shower sign 2. in females: cervicitis or PID Diagnosis: 1. History 2. urethral or cervical smear 3. Culture 4. Serological test

    14. Treatment Azithromycin 1 gm orally as single dose Doxycycline 100 mg twice daily for 7 days Tetracycline 500mg X4 for 7 days Erythromycin 500mg X4 for 7 days

More Related