Common Sexually Transmitted Diseases

Posted by e-Medical PPT
Genital Ulcer Diseases
Painful
  Chancroid
  Genital herpes simplex
Painless
  Syphilis
  Lymphogranuloma venereum
  Granuloma inguinale

Primary Syphilis - Clinical Manifestations
Incubation:  10-90 days (average 3 weeks)
Chancre
 Early:  macule/papule erodes
 Late:  clean based, painless, indurated ulcer with smooth firm borders
 Unnoticed in 15-30% of patients
 Resolves in 1-5 weeks
 HIGHLY INFECTIOUS

Secondary Syphilis - Clinical Manifestations
Represents hematogenous dissemination of spirochetes
Usually 2-8 weeks after chancre appears
Findings:
rash - whole body (includes palms/soles)
mucous patches
condylomata lata - HIGHLY INFECTIOUS
constitutional symptoms
Sn/Sx resolve in 2-10 weeks

Gonorrhea - Clinical Manifestations
Urethritis - male
 Incubation:  1-14 d (usually 2-5 d)
 Sx:  Dysuria and urethral discharge (5% asymptomatic)
 Dx:  Gram stain urethral smear (+) > 98% culture
Complications
 Urogenital infection - female
 Endocervical canal primary site
 70-90% also colonize urethra
 Incubation:  unclear; sx usually in l0 d
 Sx:  majority asymptomatic; may have vaginal discharge, dysuria, urination, labial pain/swelling, abd. pain
 Dx:  Gram stain smear (+) 50-70% culture
Complications

Chlamydia trachomatis
Responsible for causing cervicitis, urethritis, proctitis, lymphogranuloma venereum, and pelvic inflammatory disease
Direct and indirect cost of chlamydial infections run into billions of dollars
Potential to transmit to newborn during delivery
  Conjunctivitis, pneumonia

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