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Chapter 40 Sexually Transmitted Diseases

Chapter 40 Sexually Transmitted Diseases. External Infections. Condylomata Herpes Chancroid Granuloma. Condylomata (Genital Warts). Human papillomavirus (HPV) Transient or persistent May be asymptomatic Associated with genital cancers Vaccine recently developed. Question.

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Chapter 40 Sexually Transmitted Diseases

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  1. Chapter 40Sexually Transmitted Diseases

  2. External Infections • Condylomata • Herpes • Chancroid • Granuloma

  3. Condylomata (Genital Warts) • Human papillomavirus (HPV) • Transient or persistent • May be asymptomatic • Associated with genital cancers • Vaccine recently developed

  4. Question Tell whether the following statement is true or false. The HPV vaccine is currently available for both males and females.

  5. Answer False Rationale:The FDA has approved the vaccine for girls (optimal age is 9–12 years old). The vaccine is a series of three injections. Clinical trials are currently underway evaluating the efficacy of the vaccine in males, but the vaccine will not be available for males until the trials are complete and the FDA approves it.

  6. Genital Herpes • Herpes simplex virus 2 (related to chickenpox and cold sores) • Causes genital ulcers • Grows in neurons • Can remain dormant in neurons for years • Can reactivate and spread back down neuron

  7. Bacterial Diseases of External Genitalia • Chancroid • Haemophilus ducreyi • Granuloma inguinale (genital ulcers) • Calymmatobacterium

  8. Vaginal Infections • Candidiasis • Trichomoniasis • Bacterial vaginitis

  9. Normal Bacterial Flora • Many species of bacteria normally live in the vagina • Lactic-acid-producing bacteria dominate • Acid helps control growth of other bacteria • Species composition of flora varies • Between individuals • Between ethnic groups (Zhou, et al., [2004]. Characterization of vaginal microbial communities in adult healthy women using cultivation-independent methods. Microbiology,150, 2565-2573. Retrieved September 22, 2005, from http://mic.sgmjournals.org/cgi/content/full/150/8/2565.0).

  10. Candidiasis • “Yeast infection” or “thrush” • Causes include: • Decreased normal bacterial flora (antibiotics) • Increased estrogen/progesterone levels • Decreased immune system activity • Results in: • Inflammation • Thick, odorless discharge

  11. Trichomoniasis • Inflammation • Frothy, malodorous, green or yellow discharge • Associated with tubular infertility or pelvic inflammatory disease

  12. Bacterial Vaginosis • Nonspecific: may be caused by many different bacteria • Imbalance of normal vaginal bacterial flora • Thin discharge with fishy odor • Usually treated only if symptomatic or associated with other risk conditions (pregnancy, hysterectomy)

  13. Question Which vaginal infection is associated with suppressed immune function? • Candidiasis • Trichomoniasis • Bacterial vaginitis • Chancroid

  14. Answer • Candidiasis Candidiasis (yeast infection/thrush) is associated with diminished immune function. When the normal flora is decreased, Candida albicans has room to thrive.

  15. Urogenital—Systemic Infections • Chlamydia • Gonorrhea • Syphilis

  16. Chlamydia • Intracellular parasites • Signs at site of infection: hypertrophy, drainage • Signs of urinary tract infection: urinary frequency, dysuria, discharge, postcoital bleeding • Signs of upper genital tract infection: irregular uterine bleeding, abdominal/pelvic discomfort • Complications include infertility and ectopic pregnancy • May cause conjunctivitis

  17. Gonorrhea • Bacterium Neisseria gonorrhoeae • May be asymptomatic • May cause pain and discharge • May cause conjunctivitis

  18. Syphilis • Spirochete Treponema pallidum • Primary syphilis • Chancre at site of exposure

  19. Syphilis (cont.) • Secondary syphilis • Disseminates to other organs • Skin rash • Mucosal lesions • Tertiary syphilis • Gumma lesions develop in organs • CNS and heart often affected

  20. Question Which of the following STDs may cause conjunctivitis? • Chlamydia • Gonorrhea • Syphilis • a and b • All of the above

  21. Answer • a and b Rationale:Certain STDs affect other body systems; chlamydia (caused by an intracellular parasite/virus) and gonorrhea (caused by a bacteria) may both result in conjunctivitis. Syphilis affects the skin, organs, and CNS.

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