Monday, March 6, 2017

Sexually Transmitted Deseases (STI) Introduction

Sexually Transmitted Disease (STD)

INTRODUCTION
In this chapter the diseases discussed are Syphilis,  Gonorrhoea,
Chanceroid,  Lymphgranuloma Inguniale, Yaws and AIDS. At the  end
of  this  chapter you should be able to diagnose those  cases  of
sexually transmitted disorder that a surgeon may encounter in his
practice, either with presenting complaints (ulcers, lymph  gland
enlargments  fever) or as coincidental late manifestation in  the
course  of other surgical disorders. Early recognition  of  these
disorders is essential to avoid needless surgical intervention.

1. SYPHILIS
This is systemic infection caused by Treponema pallidum-a  spiral
organism 6-15 Um in length.

*  The  incubation  period is three  weeks.  Transmission  occurs
   through  direct  contact  with  a  surface  lesion  containing
   treponema.
*  The  primary  chancre (Ulcer) is assoicated  with  lymph  gland
   enlargement.
*  There is a  secondary stage of bacteremia and a latent  period
   of two years when the patient can transmit infection.
*  A third of the untreated cases pass into the tertiary stage of
   destructive muco-cutaneous lesion
*  There  may  also be  parenchymal and  central  nervous  system

   lesions

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