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Journal Der Deutschen Dermatologischen... Jun 2014In no other medical field former rare infections of the 1980(th) and 1990(th) occur again as this is seen in the field of venerology which is as well based on the... (Review)
Review
In no other medical field former rare infections of the 1980(th) and 1990(th) occur again as this is seen in the field of venerology which is as well based on the mobility of the population. Increasing rates of infections in Europe, and increasing bacteriological resistances face health professionals with new challenges. The WHO estimates more than 340 million cases of illnesses worldwide every year. Diseases caused by sexually transmitted infections (STI) in a strict sense are syphilis, gonorrhea, lymphogranuloma venereum, granuloma inguinale, and chancroid. In a wider sense, all illnesses are included which can mainly be transmitted through sexual contact. The term "sexual contact" has to be seen widely, from close physical contact to all variants of sexual behavior. This CME article is an overview of the most common occurring sexually transmitted infections in clinical practice. Both, basic knowledge as well as recent developments are discussed below.
Topics: Adolescent; Adult; Anti-Bacterial Agents; Child; Comorbidity; Drug Therapy, Combination; Female; Germany; Humans; Infant, Newborn; Male; Mass Screening; Pregnancy; Sexually Transmitted Diseases
PubMed: 24889293
DOI: 10.1111/ddg.12310 -
CMAJ : Canadian Medical Association... Dec 2021
Topics: Anti-Bacterial Agents; Canada; Doxycycline; Humans; Lymphogranuloma Venereum; Sexual Partners; Sexually Transmitted Diseases, Bacterial
PubMed: 34903592
DOI: 10.1503/cmaj.210853 -
Clinics in Colon and Rectal Surgery Sep 2019This article provides a practical overview for the management of nonviral sexually transmitted diseases affecting the perianal and anorectal regions. Clinical... (Review)
Review
This article provides a practical overview for the management of nonviral sexually transmitted diseases affecting the perianal and anorectal regions. Clinical manifestations, diagnosis, and treatment of syphilis, gonorrhea, chancroid, donovanosis, and lymphogranuloma venereum are individually addressed.
PubMed: 31507345
DOI: 10.1055/s-0039-1687831 -
Postepy Dermatologii I Alergologii Jun 2022Lymphogranuloma venereum (LGV) is a sexually transmitted disease that increases in incidence, particularly in more developed countries worldwide. LGV is caused by... (Review)
Review
Lymphogranuloma venereum (LGV) is a sexually transmitted disease that increases in incidence, particularly in more developed countries worldwide. LGV is caused by Chlamydia trachomatis serovars/genovars L1-3, including their subvariants, and in Europe mostly affects men who have sex with men (MSM). It can be asymptomatic but has now emerged as a frequent cause of severe proctitis/proctocolitis, especially in MSM. LGV has often been misdiagnosed as C. trachomatis serovars/genovars D-K infection. It is essential with accurate diagnosis that ensures appropriate treatment and protects the patient from complications and sequelae as well as from the consequences of misdiagnosis, e.g. as inflammatory bowel disease or cancer. We present a systematic review of LGV and two new LGV cases diagnosed in Poland.
PubMed: 35950128
DOI: 10.5114/ada.2020.101466 -
BMJ (Clinical Research Ed.) Jan 2006
Topics: Chlamydia trachomatis; Disease Outbreaks; Europe; Homosexuality, Male; Humans; Lymphogranuloma Venereum; Male; Unsafe Sex
PubMed: 16410560
DOI: 10.1136/bmj.332.7533.66 -
Infection and Drug Resistance 2015Lymphogranuloma venereum is a sexually transmitted disease caused by L1, L2, and L3 serovars of Chlamydia trachomatis. In the last 10 years outbreaks have appeared in... (Review)
Review
Lymphogranuloma venereum is a sexually transmitted disease caused by L1, L2, and L3 serovars of Chlamydia trachomatis. In the last 10 years outbreaks have appeared in North America, Europe, and Australia in the form of proctitis among men who have sex with men. Three stages of disease have been described. The disease in primary stage may go undetected when only a painless papule, pustule, or ulceration appears. The diagnosis is difficult to establish on clinical grounds alone and frequently relies upon either serologic testing, culture, or more recently, nucleic acid amplification testing of direct specimens. A proper treatment regimen cures the infection and prevents further damage to tissues. Lymphogranuloma venereum causes potentially severe infections with possibly irreversible sequels if adequate treatment is not begun promptly. Early and accurate diagnosis is essential. Doxycycline is the drug of choice. Pregnant and lactating women should be treated with erythromycin or azithromycin. Patient must be followed up during the treatment, until disease signs and symptoms have resolved. Repeated testing for syphilis, hepatitis B and C, and HIV to detect early infection should be performed.
PubMed: 25870512
DOI: 10.2147/IDR.S57540