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[Tropical sexually transmitted infections Summary of the SFMTSI Scientific Day of November 9, 2023].Medecine Tropicale Et Sante... Dec 2023Sexually transmitted infections (STIs) deserve more attention today than ever in the tropics. Indeed, the emergence of monkeypox in 2022 in Western countries reminds the...
Sexually transmitted infections (STIs) deserve more attention today than ever in the tropics. Indeed, the emergence of monkeypox in 2022 in Western countries reminds the risk of exporting STIs from the tropics as it was already known for decades with the worldwide spread of HIV/AIDS infection from tropical Africa. Some hazards are already well identified. According to WHO 2023 report STIs are increasing in the world. Antibiotic resistance is increasing for and already well established for whereas has become resistant to macrolides within the last twenty years. Some neglected tropical diseases (Zika, Ebola, monkeypox) can also be sexually transmitted, sometimes months after cure (Ebola). In this setting, the use of PrEP in migrants, and in Africa, is worth to be discussed beyond traditional circles.
Topics: Humans; Hemorrhagic Fever, Ebola; Mpox (monkeypox); Sexually Transmitted Diseases; HIV Infections; Sexual Behavior; Acquired Immunodeficiency Syndrome; Zika Virus; Zika Virus Infection
PubMed: 38390016
DOI: 10.48327/mtsi.v3i4.2023.447 -
Indian Journal of Sexually Transmitted... 2023Donovanosis is a chronic bacterial infection caused by gram-negative bacterium Klebsiella granulomatosis and is characterized by painless beefy red granulomatous ulcer...
Donovanosis is a chronic bacterial infection caused by gram-negative bacterium Klebsiella granulomatosis and is characterized by painless beefy red granulomatous ulcer which bleeds on touch and is mostly confined to the endemic regions of the world. It is rarest among the sexually transmitted genital ulcer diseases. We hereby report a case of donovanosis in a non-endemic area who initially presented with a solitary genital ulcer. Initial tests did not reveal any aetiology. However after four days of admission, since no aetiology was coming forth, a repeat tissue smear from the lesion revealed Donovan bodies which helped in the bedside diagnosis and management of the case.
PubMed: 37457515
DOI: 10.4103/ijstd.ijstd_68_22 -
Anais Brasileiros de Dermatologia 2022Genital ulcers (GUs) represent a diagnostic challenge and can be secondary to neoplastic and inflammatory processes of different causes. Among those of infectious...
Genital ulcers (GUs) represent a diagnostic challenge and can be secondary to neoplastic and inflammatory processes of different causes. Among those of infectious etiology, there are sexually transmitted infections (STIs), a very frequent reason for seeking the health service. The most common agents are herpes simplex virus and Treponema pallidum and, more rarely, Haemophilus ducreyi, Klebsiella granulomatis and Chlamydia trachomatis. A careful dermatological examination offers important diagnostic elements; however, atypical manifestations are very common. Distinctive characteristics of ulcers to look out for include their margin, edge, bottom, and base. Regional lymph node chain alterations should be evaluated regarding their number, size, mobility, consistency, inflammation, and pain on palpation. Diagnostic tests have variable sensitivity and specificity, and molecular tests are currently considered the reference exams. The rapid immunochromatographic tests represented a significant advance, as they can be performed with blood obtained from the digital pulp, offer results in up to 30 minutes, and do not require a laboratory structure. The treatment of persons affected by GU/STIs must be immediate, as it aims to prevent complications, as well as reduce transmission. It is not always considered that people with GUs/STIs have varying degrees of depression, anxiety, and self-reproach, with an impact on relationships. Establishing a bond and trusting the professional is essential for adherence to treatment and preventive measures that must be discussed individually.
Topics: Chancroid; Genital Diseases, Male; Genitalia; Humans; Male; Sexually Transmitted Diseases; Syphilis; Ulcer
PubMed: 35868971
DOI: 10.1016/j.abd.2022.01.004 -
MSMR Dec 2021
Topics: Granuloma Inguinale; Humans; Incidence; Military Personnel; Population Surveillance; United States
PubMed: 35320664
DOI: No ID Found -
Indian Journal of Dermatology,... 2021
Topics: Dermoscopy; Granuloma Inguinale; Humans; Male; Tunisia; Young Adult
PubMed: 33943056
DOI: 10.25259/IJDVL_43_20 -
Indian Journal of Sexually Transmitted... 2020
PubMed: 33817602
DOI: 10.4103/ijstd.IJSTD_47_18 -
Indian Journal of Sexually Transmitted... 2020Sexually transmitted infections (STIs) have a well-established synergistic relationship with human immunodeficiency virus (HIV) infection. Coinfection with HIV and STI...
CONTEXT
Sexually transmitted infections (STIs) have a well-established synergistic relationship with human immunodeficiency virus (HIV) infection. Coinfection with HIV and STI can increase the probability of HIV transmission to an uninfected partner by increasing HIV concentrations in genital lesions, genital secretions, or both. Concurrent HIV infection alters the natural history of the classic STIs.
AIMS
The aim was to study the current scenario of STIs with HIV co-infection, and to recognize different manifestations of STIs than the classical presentation in people living with HIV/AIDS (PLHIV).
SETTINGS AND DESIGN
It was an open, cross-sectional, descriptive study carried out in the setting of state government hospital with attached antiretroviral therapy referral center.
SUBJECTS AND METHODS
The sample size of the study was duration based (30 months).
INCLUSION CRITERIA
All PLHIV presenting to the department of dermatology with STIs were included in the study.
EXCLUSION CRITERIA
Non-STI causes of genital ulceration were excluded in the study.
RESULTS
The study includes total ( = 484) patients living with HIV/AIDS, prevalence of different STIs was in the following order, herpes simplex virus infections 24.17%, human papillomavirus infections 8.88%, molluscum contagiosum 7.43%, secondary syphilis 4.33%, gonorrhea 1.85%, chancroid 1.44%, and granuloma inguinale 0.41%. Of all the patients with herpes simplex virus infections, 45.6% ( = 57) had multiple recurrences (>6/year). The incidence of mixed STI was 17.29% in the present study.
CONCLUSIONS
The study represents decreasing trends in bacterial STIs and the rise of viral STIs. Atypical presentations of classic STIs were more frequent than non-HIV-infected individuals.
PubMed: 33817588
DOI: 10.4103/ijstd.IJSTD_87_18 -
Anais Brasileiros de Dermatologia 2020Donovanosis is a chronic, progressive, and indolent bacterial disease that affects the skin and mucous membranes of the genital and perigenital regions, often associated...
Donovanosis is a chronic, progressive, and indolent bacterial disease that affects the skin and mucous membranes of the genital and perigenital regions, often associated with sexual transmission, and with low infectivity. The malignant transformation of donovanosis lesions occurs exceptionally, as is usually seen in long-term ulcerations.
Topics: Granuloma Inguinale; Humans; Skin; Ulcer
PubMed: 33069513
DOI: 10.1016/j.abd.2020.07.002 -
Anais Brasileiros de Dermatologia 2018Donovanosis is a chronic infectious disease caused by the Gram-negative bacteria Klebsiella granulomatis, which mainly affects the skin and mucous membranes of the...
Donovanosis is a chronic infectious disease caused by the Gram-negative bacteria Klebsiella granulomatis, which mainly affects the skin and mucous membranes of the genital, perigenital, and inguinal regions. Also known as venereal granuloma or granuloma inguinale, it is endemic in tropical and subtropical regions of the globe and often associated with sexual transmission. We report the case of an 11-year-old female victim of chronic sexual abuse, who was diagnosed with donovanosis and presented a good therapeutic response to doxycycline.
Topics: Anti-Bacterial Agents; Child; Child Abuse; Doxycycline; Female; Granuloma Inguinale; Humans; Sex Offenses
PubMed: 30066775
DOI: 10.1590/abd1806-4841.20187948