Brazilian Journal of Sexually Transmitted Diseases
https://www.bjstd.org/revista
Sociedade Brasileira de Doenças Sexualmente Transmissíveisen-USBrazilian Journal of Sexually Transmitted Diseases2177-8264Profile of sexually transmitted infections among attendees of special clinics (Suraksha) at an apex regional sexually transmitted disease centre in North India – a five-year study
https://www.bjstd.org/revista/article/view/1400
<p><strong>Introduction:</strong> Sexually transmitted infections (STIs) present significant global and national health challenges, particularly in India. <strong>Objective:</strong> To estimate the prevalence and characteristics of STIs among attendees at the Suraksha Clinic in the Apex Regional STD Centre, Safdarjung Hospital. <strong>Methods:</strong> Retrospective data from January 2018 to December 2022 were statistically analyzed using Excel and SPSS. The study included the examination for diagnosis of various STIs, such as syphilis, human immunodeficiency virus (HIV), gonorrhoea, chlamydiasis, trichomoniasis, candidiasis, bacterial vaginosis, chancroid, and genital herpes. Gender distribution and syndromic diagnoses, including vaginal/cervical discharge and genital ulcers, were also considered. Referrals to Integrated Counseling and Testing Centres for HIV testing were analyzed.</p> <p><strong>Results:</strong> The outcomes reveal a substantial burden of STIs, with 3.06% showing reactivity to syphilis, 1.74% testing positive for HIV, 3.36% for gonorrhoea, 11.78% for chlamydiasis, 1.05% for trichomoniasis, 26.24% for candidiasis, 9.97% for bacterial vaginosis, 7.80% for chancroid, 11.64% for herpes genitalis, and 4.01% for other non-STIs. Attendees' interactions included 34.36% of referrals to Integrated Counseling and Testing Centres for HIV testing. The gender distribution showed 58.92% male and 40.94% female attendees. <strong>Conclusion:</strong> Syndromic diagnoses, including vaginal/cervical discharge (21.22%) and genital warts (8.00%), highlight prevalent conditions, necessitating routine screening, early detection, and targeted interventions for effective disease control and prevention. These findings underscore the significance of integrated screening, patient education, and proactive strategies to safeguard public health in the face of rising STI rates.</p>Sumathi MuralidharPrashant GuptaAbhishek LachyanSoni SinghRatan Singh RanaNiti Khunger
Copyright (c) 2023 Brazilian Journal of Sexually Transmitted Diseases
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2024-02-152024-02-153610.5327/DST-2177-8264-2024361400 Giant chancre in an octogenary patient. Always remember syphilis!
https://www.bjstd.org/revista/article/view/1386
<p><strong>Introduction</strong><strong>:</strong> Syphilis is a sexually transmitted infection (STI) caused by the <em>Treponema pallidum </em>and has become epidemic in the past two decades. The disease is often asymptomatic, and its manifestations are diverse. It may affect multiple systems, posing the risk of serious consequences or even death. <strong>Objective</strong><strong>:</strong> To present a case of an exuberant syphilis-related lesion in an elderly man. <strong>Case report</strong><strong>:</strong> An 85-year-old man presented with a painless penile lesion. He reported having had oral sexual contact (felatio) with a female sex worker six weeks prior the presentation of the lesion. During the physical exam, an ulcer measuring three to four cm was observed, reaching subcutaneous tissue down to the Buck’s fascia, and presenting a clean beefy red base, and an infiltrated edge. Bilateral and movable enlarged and painless lymph nodes were found. The rapid immunochromatographic test was positive for syphilis and negative for HIV, hepatitis B, and hepatitis C. Treatment consisted of an <em>in loco</em> injection of 2,400,000 IU of benzathine penicillin. <strong>Conclusion</strong><strong>:</strong> In spite of being more common among younger individuals, syphilis should be always considered in the differential diagnosis of genital ulcers, regardless of the patient's age. Many aged people keep an active sexual life especially with the increase of longevity and effective therapeutic measures for erectile disfunction. The false belief that sexual activity ceases to exist in older age groups must, therefore, be abandoned.</p>Mauro Cunha RamosAndressa Goldman Ruwel
Copyright (c) 2024 Brazilian Journal of Sexually Transmitted Diseases
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2024-02-282024-02-283610.5327/DST-2177-8264-2023351386The genital tract microbiome: bridging the gap between hype and clinical reality
https://www.bjstd.org/revista/article/view/1396
<p>In the last years there has been a huge interest in the study of the human microbiome, and the genital tract one has been no exception. However, we still fail to fully understand the normal and abnormal genital tract microbiome. Despite the increasing knowledge, the diagnosis of vaginitis is mostly empirical and many interventions, such as the use of probiotics, are not supported by good quality evidence.</p>Pedro Vieira-Baptista
Copyright (c) 2023 Brazilian Journal of Sexually Transmitted Diseases
https://creativecommons.org/licenses/by/4.0
2024-01-092024-01-093610.5327/DST-2177-8264-2024361396