Wenn's nicht nur juckt oder brennt: Klinik und Behandlung sexuell übertragbarer Erkrankungen (Teil 2)

Praxis ◽  
2013 ◽  
Vol 102 (15) ◽  
pp. 905-911
Author(s):  
Danielle Vuichard ◽  
Peter Itin

In diesem zweiten Teil vermitteln wir Ihnen eine Übersicht über die genitale Ulkuskrankheit. Typische Erreger sind das Herpes-simplex-Virus, Treponema pallidum und Chlamydia trachomatis. Wie auch bei der Urethritis und den Genitalwarzen bergen diese Erreger, wenn unbehandelt, das Risiko für Spätkomplikationen und erhöhen die Transmission und Akquisition von HIV. Luetische Spätfolgen beinhalten die Mesaortitis luetica mit drohendem Aortenaneurysma sowie Tabes dorsalis und progressive Paralyse. Der Schwerpunkt liegt in der Beschreibung der typischen klinischen Manifestationen der einzelnen Erreger, der teilweise komplexen Diagnostik sowie dem Management basierend auf den aktuellsten internationalen Richtlinien.

2009 ◽  
Vol 3 (1) ◽  
pp. 27-33
Author(s):  
Tahmina Shirin ◽  
Saidur Rahman ◽  
Fareha Jesmin Rabbi ◽  
Md Humayun Kabir ◽  
KZ Mamun

The prevalence of sexually transmitted diseases (STDs) among patients attending out patients department of Skin and Venereal diseases of Dhaka Medical College Hospital, Dhaka and Shahid Sohrawardy Hospital, Dhaka was studied. A total of 230 patients were enrolled in the study during the period of July, 2006 to May, 2007. Urethral and endocervical swabs were collected from the participants for detection of Neisseria gonorrheae (by culture), Chlamydia trachomatis (by immunochromatoghraphy) and blood samples for the detection of Treponema pallidum antibody (by rapid plasma regain and Treponema pallidum haemagglutination assay), Herpes simplex virus type 2 antibody (both IgM and IgG by enzyme linked immunosorbent assay) and Human Immunodeficiency virus antibody (by enzyme linked immunosorbent assay). Socio-demographic data and data regarding high-risk sexual behavior were also collected. Out of 230 participants, 199 (86.5%) were positive for STDs pathogens studied, among them, 98 (42.6%) were infected with single pathogen and 101 (43.9%) were suffering from multiple infections. The prevalences of N. gonorrheae, C. trachomatis, T. pallidum, and HSV type 2 were 90 (39.1%), 110 (47.8%), 28 (12.2%) and 88 (38.2%) respectively. However, none of them were positive for HIV infection. Use of condom was significantly associated with protection of the participants against STDs. Keywords: Sexually Transmitted Diseases, Neisseria gonorrhoeae, Chlamydia trachomatis, Treponema pallidum, Herpes simplex virus type-2, Human Immunodeficiency virus   doi: 10.3329/bjmm.v3i1.2968 Bangladesh J Med Microbiol 2009; 03 (01): 27-33


2008 ◽  
Vol 15 (4) ◽  
pp. 675-680 ◽  
Author(s):  
Staffan Görander ◽  
Teresa Lagergård ◽  
Malgorzata Romanik ◽  
Raphael P. Viscidi ◽  
Gayane Martirosian ◽  
...  

ABSTRACT Herpes simplex virus type 2 (HSV-2), human papillomaviruses (HPVs), and Chlamydia trachomatis are the most common pathogens causing sexually transmitted infections (STIs). There is limited information about the prevalences of these STIs in Poland. Here, we estimated the occurrence of immunoglobulin G (IgG) antibodies against HSV-2, HPV, and C. trachomatis in 199 blood donors and 110 patients of both genders attending an STI clinic in Katowice in southern Poland. The seroprevalences of HSV-2 were 5% for blood donors and 14% in the STI cohort. The seroprevalences of the five potentially oncogenic HPV types 16, 18, 31, 35, and 51 were 15%, 7%, 5%, 5%, and 17%, respectively, in blood donors and 37%, 8%, 12%, 5%, and 21%, respectively, in the STI cohort. The majority of HPV-infected individuals showed antibodies against more than one type, i.e., had been infected with multiple HPV types. Anti-C. trachomatis IgG antibodies were detected in 6% of blood donors and 13% of individuals attending the STI clinic. The relatively high prevalence of HPV-51 may have implications for future vaccine programs, as the newly introduced HPV vaccines are based on the potentially oncogenic HPV types 16 and 18.


2013 ◽  
Vol 40 (6) ◽  
pp. 508-515 ◽  
Author(s):  
Catharina Johanna Alberts ◽  
Maarten F. Schim van der Loeff ◽  
Mary R. Papenfuss ◽  
Roberto José Carvalho da Silva ◽  
Luisa Lina Villa ◽  
...  

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