GENITAL WARTS AND ITS CLINICAL FEATURES
Warts are caused by a small DNA virus (papillomavirus)belonging to the papovavirus group. Anogenital warts are sexually transmitted and are regarded as importantin view of increasing evidence associating them withcervical cancer. In men warts can appear on any part of the genitalia, butespecially the frenulum, the coronal sulcus and the innersurface of the foreskin. They are called condylomataacuminata. They may be found in the male urethra andappear as bright red lumps at the meatus. In women the vulva and cervix can be involved , as can theperineal area in both sexes. Cervical condylomata may beflat and identifiable only by colposcopy. They may be associatedwith cervical dyskeratosis and koilocytosis.
Management Local application of cytotoxic agents such as podophyllin,or of destructive agents or methods such as trichloraceticacid, cautery, diathermy or cryosurgery, is still the maintherapeutic approach. Ablation of cervical warts by lasertherapy is effective. Sexual partners should be contacttraced and treated. Women diagnosed with genital warts,and the female partners of men with genital warts, shouldalso have cervical cytology.
CHLAMYDIA TRACHOMATIS Genital infectionChlamydia trachomatis is an obligatory intracellular parasitewhose replication results in the death of the infectedcell. During its lifecycle the infectious particle changes toan actively dividing form, which later reorganizes into theinfectious form that is released on cell lysis.Non-specific genital infection (NSGI), of which chlamydiainfection may account for up to 50% in the UK, maypresent as urethritis, cervicitis or proctitis. Other relevantorganisms include mycoplasmas and uroplasmas.Genital chlamydia infection is thought to be the commonestSTI in England, with prevalances of 2-12ected in studies of GP attendees. The rates of diagnosis have increased significantly over the last few years, thehighest among 16-19-year-old females.
Clinical features Men usually have urethral discharge and dysuria about 10days after exposure to infection. In women the infectionis usually silent, but may present with an abnormal vaginaldischarge or with symptoms of pelvic inflammatory disease. If uncomplicated rectal infection occurs there maybe anal discharge, perianal dampness, irritation and tenesmus.Complications are more common in women thanin men. In women they include bartholinitis, salpingitisand perihepatitis. In men the complications include epididymo-orchitis, prostatitis and sexually acquired reactive arthropathy
Diagnosis In men a Gram-stained urethral smear shows an excess ofpolymorphonuclear leukocytes but no gonococci, and issupportive of a diagnosis of non-gonoccoal urethritis. Inmen and women chlamydial infection is confirmed by identifyingantigen at the site of infection, or by culture.
Management Chlamydial infection and most other NSGI responds totetracycline therapy. The usual is doxycycline (100 mgdaily) for at least 7 days, or azithromycin 1 g orally as asingle dose. Erythromycin (500 mg twice daily) may beused as an alternative and is the first choice in pregnancyand in tetracycline allergy. Relapse or recurrent infectionis common in both sexes. There may be symptoms of apostinfective urethritis, with no signs of infection. Sexualpartners of both sexes should always be examined andtreated to identify asymptomatic infection, to preventserious complications of untreated infection in the contact,such as pelvic inflammatory disease, and to avoid reinfectionof the index case.
Congenital Chlamydia trachomatis infectionChlamydia trachomatis infection is now frequently seen asa cause of ophthalmia neonatorum. The infected babydevelops a conjunctivitis about 10 days after birth. Investigationshould include culture of pus, or a monoclonalantibody test for Chlamydia trachomatis. The organismmay also be a cause of pneumonia in the neonate. Treatmentis with erythromycin syrup. The baby's parentsshould always be examined for Chlamydia and othergenital infections.
Questions and Answers
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genital warts
There are many methods for the genital warts removal, but if you are infected by the virus, the genital warts will reappear after few months or years. The genital warts treatment may be a ongoing process and you have to live with this fact.
People suffering from genital warts feel a lot of discomfort when the genital warts are pinched or pulled. Some treatments may be very painful and may leave behind scars. A genital wart cream is used if you want painless treatment of genital warts.
There are several options available to you to remove the genital warts. Doctors may first prescribe creams that need to be applied on the genital warts. If you don't want to visit the doctor, you can also try few over-the-counter medications.
Do I own genital wart or what? They are white in color. Some extremely tiny and some easily distinct without getting close. When erect, they all are clearly detectable. Years ago I had masturbated with an unscrew wart on my finger. 4 dr's say they are not warts but I regard as they...
DO GENITAL WARTS CAUSE BLEEDING? i didnt think that they do , and i thought maybe if i be scratching like hell they would but i dont really...i applied warticon and after when i pass urine it KILLS me and then bleeds some more , is this to do next to the genital...
Genital warts may be small, flat, flesh-colored bumps or tiny, cauliflower-like bumps. In men, genital warts can grow on the penis, near the anus, or between the penis and the scrotum.
A fast way to get gout relief is with baking soda which I've found it to be very effective. But now that I have gotten my uric acid levels under control I don't need to use this home remedy anymore.
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We need to keep our omega 6 foods at a minimum and include more omega 3 into our diets. Adding food items such as walnuts, chia seeds, to our salads is a simple and natural way to get our omega.
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Tomas, a 34 year of carpenter, went to see his girl friend of six months at the end of a hard day. Noticing a strange car in the driveway, he peered into her window with some curiosity. He saw her having sexual relations with another man. Enraged, Tomas went home and returned with his shotgun.
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