STD 06-07
STD 06-07
STD 06-07
OR
Bacterial
• Gonorrhea Neisseria gonorrhoeae
• Syphilis Treponema pallidum
• Chlamydial Infections Chlamydia trachomatis
• Chancroid Haemophilus ducreyi
• Ureaplasma Infection Ureaplasma urealyticum
• Granuloma inguinale Calymatobacterium
granulomatous
Common Venereal Infections (STDs)
Viral
Protozoa
• Trichomoniasis Trichomonas vaginalis
Fungi
• Vulvovaginal candidiasis Candida albicans
Ectoparasites
• Scabies Sarcopties scabiei
• Phthirus pubis Pubic louse infestation
STD : Clinical Features
Symptoms that Suggest STD
• Abnormal discharge from vagina or penis
• Pain or burning sensation with urination
• Ulcer or blister on genitals
• Swellings in the groin
• Abnormal vaginal bleeding
• Unusual severe menstrual cramps
• Pain in the lower abdomen in women
• Painful sexual intercourse
Vaginal Discharge
• Neisseria gonorrheae Purrulent
HSV Most common Clusters of Tender Uniform size clean base Tender inguinal nodes
ulcers on labia erythematous border
and penis
Syphilis Less common than One or two on Little to no Clean base indurated border Rubbery, mildly
HSV. vagina and tenderness tender
penis
Chancroid Less common than One or two, Painful Can be large, ragged and Very tender,
HSV. lesions may necrotic base, undermined fluctuant inguinal
coalesce, On edge nodes
labia and penis
LGV Rare Ulcer lasts 2-3 Painless Ulcer spontaneously heals at Fluctuant inguinal
weeks, labia time of fluctuant adenopathy nodes
and penis
Granuloma Very Rare: Kissing lesions Painless Clean, beefy read base, stark Nodes usually firm
Inguinale labia and penis white heaped-up ulcer edges can mimic LGV.
Herps vesicles
in female
Herps vesicles in male
Herpes
H. Ducre (Chanroid
Granuloma
inguinale
Gonorrhea
LGV LGV
Genital warts
Culture
• N. gonorrhoeae, H. ducreyi
Other Methods
Gonoccocci
• Tissue culture, ELISA culture
o C. trachomatis
o LGV
o Genital herpes
SYPHILIS
Source of Infection
• Patient with Primary or Secondary syphilis
Modes of Transmission
1. Venereal : Sexual contact
2. Non-venereal
A) Direct Contact
• With mucous membranes (kissing)
• Blood Transfusion
B) Mother to Child – Congenital syphilis
• Hard painless chancre
SYPHILIS : Lab Diagnosis
Females
• Vaginal discharge and dysuria
• Pelvic inflammatory disease - leads to sterility
Treatment
• Penicillin
• Ceftriaxone for penicillin-resistant
CHLAMYDIA TRACHOAMATIS
INFECTIONS
CHANCROID
• Caused by Haemophilus ducreyi
° Produce soft ulcers on external genitalia
° Local lymphadenitis (bubo)
• Treatment:
° Ceftriaxone or ciprofloxacin
Scabies - mite infestation
Diagnosis
– Finding lice or nits attached to genital hairs (definitive
Diagnosis)
pediculosis pubis,
Finding lice or nits attached to
genital hairs (definitive Dx)
Treatment
• Permethrin 1% creme rinse applied to
affected areas and washed off after 10
minutes.
HSV Most common Clusters of Tender Uniform size clean base Tender inguinal
ulcers on labia erythematous border nodes
and penis
Syphilis Less common than One or two on Little to no Clean base indurated border Rubbery, mildly
HSV. vagina and tenderness tender
penis
Chancroid Less common than One or two, Painful Can be large, ragged and Very tender,
HSV. lesions may necrotic base, undermined fluctuant inguinal
coalesce, On edge nodes
labia and penis
LGV Rare Ulcer lasts 2- Painless Ulcer spontaneously heals at Fluctuant inguinal
3 weeks, labia time of fluctuant nodes
and penis adenopathy
Granuloma Very Rare: Kissing lesions Painless Clean, beefy read base, Nodes usually firm
Inguinale labia and penis stark white heaped-up ulcer can mimic LGV.
edges
MOTHER TO CHILD
TRANSMISSION OF
INFECTIONS
Intrapartum Transmission
• Streptococcus agalactiae
• Neisseria gonorrhoeae
• Listeria monocytogenes
• Chlamydia trachomatis
• Escherichia coli
• CMV, HSV, HBV, HIV
Perinatal Transmission (infection is
often include a period from 20-28 weeks to 7-28
days after birth)
• CMV
• HSV
• HBV
• HIV
• VZV
Transplacental Transmission
• T : Toxoplasma gondii
• O: Other
TORCH
• R : Rubella virus
• C : Cytomegalovirus
• H : Herpes simplex
Other iclude
• Listeria monocytoges
• HBS, EBV,HIV, varicella zoster
• Malaria
• Syphilis