Indian Journal of Sexually Transmitted Diseases and AIDS最新文献

{"title":"Self-inflicted genital ulcer: An intriguing case report.","authors":"Mohankumar Vedhanayagam,&nbsp;Rajesh Rajagopalan,&nbsp;K Revathi,&nbsp;Hareeshkumar Dasar,&nbsp;B R Balamurugan,&nbsp;K G Srinivasahan","doi":"10.4103/ijstd.ijstd_18_23","DOIUrl":"10.4103/ijstd.ijstd_18_23","url":null,"abstract":"<p><p>Self inflicted genital ulcer due to penile constriction injury is a rare clinical entity, which requires urgent management to prevent its devastating outcomes such as penile gangrene and auto amputation. Although this is common, definitely, it is of interest because of the genital involvement. Here, we present a case report on an unusual case of rubber band induced penile constriction injury.</p>","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/19/35/IJSTD-44-82.PMC10343112.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9826156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coexistence of human immunodeficiency virus infection and autoimmune hepatitis: A double trouble.","authors":"Manish Manrai,&nbsp;Rohit Vashisht,&nbsp;Balakrishnan Arivalagan,&nbsp;Puneet Baveja,&nbsp;Ahmed Waheed Kashif,&nbsp;Anil Menon","doi":"10.4103/ijstd.ijstd_73_22","DOIUrl":"10.4103/ijstd.ijstd_73_22","url":null,"abstract":"<p><p>A wide spectrum of hepatobiliary manifestations occur in Human Immunodeficiency Virus (HIV)-infected patients. Among the common causes are the infectious hepatitis, drug-related hepatitis, opportunistic infections, non-alcoholic steatohepatitis, HIV cholangiopathy and neoplasm. Auto-immune hepatitis (AIH) is rarely reported in this setting. We present two different presentations of auto immune hepatitis in HIV positive patients. One developed jaundice and ascites as a consequence of liver decompensation and other exhibited cholestatic pattern. Their serology and liver biopsy confirmed autoimmune hepatitis as underlying aetiology. We would like to share the clinical improvement with simultaneous immunosuppressive therapy and combination Anti Retroviral Therapy (cART). There are no documented cases on this issue from the Indian subcontinent that we are aware of.</p>","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/c1/IJSTD-44-66.PMC10343110.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9826158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Malignant syphilis in an immunocompromised female: A case report from Northeast India.","authors":"Shikha Verma,&nbsp;Sakshi Kumari,&nbsp;Mary Zothanpuii Chhangte","doi":"10.4103/ijstd.ijstd_103_22","DOIUrl":"10.4103/ijstd.ijstd_103_22","url":null,"abstract":"<p><p>Malignant syphilis (lues maligna) is a rare form of secondary syphilis, first described by Bazin in 1859, frequently associated with HIV infection. The resurgence of syphilis in the recent times has been attributed to rise in HIV infection. Malignant syphilis is characterized by the presence of pleomorphic multiple round-to-oval papules, papulopustules, or nodules with ulceration, without central clearing, and occasionally exhibit a lamellate brown to black rupioid crust with prodromal symptoms. We herein report a case of early malignant syphilis in a young immunocompromised patient who was HIV positive and noncompliant to antiretroviral therapy, from Northeast India. The HIV/AIDS epidemic is rising at an alarming rate in this part of the country which has thus led to an increase in the number of other sexually transmitted infections.</p>","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/0e/IJSTD-44-74.PMC10343126.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9826160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Redefining venereology practice in Tamil Nadu, South India - Nakshatra Health - A networking model.","authors":"Mahalingam Periasamy,&nbsp;V Mohankumar,&nbsp;Vasuki Shanmugam,&nbsp;M Selvakumar,&nbsp;Swarna Madurai Pandian,&nbsp;Lokabiraman Sridharan","doi":"10.4103/ijstd.ijstd_13_23","DOIUrl":"10.4103/ijstd.ijstd_13_23","url":null,"abstract":"<p><strong>Background: </strong>Accessing care for sexual health has always been a challenge in our Indian context. The primary reason is a lack of awareness of modes of transmission of sexually transmitted diseases (STD), appropriate testing, and treatment options. The second is taboo associated with the morality of the individual. The third is the accessibility and availability of Quality STD care by allopathic specialists in comparison to the demand. This has paved way for lots of myths and misconceptions among the general public regarding STDs and HIV disease. Compounding it is the mushrooming of nonqualified practitioners and healers who claim to cure all STDs and HIV has led to poor treatment outcomes. Several methods of partnership with qualified allopathic practitioners have been tried for the provision of quality STD care by various donor-funded, HIV and STD prevention programs in the country. The key reasons for the nonsustainability of these clinics were the lack of technical capability to handle the sexual health and STD clinical cases and the huge cost involved in the advertisement and maintenance of the clinics.</p><p><strong>Methodology: </strong>Seven clinicians from different geographical locations in Tamil Nadu, who were exclusively qualified in Venereology, conceived the idea of provision of comprehensive clinical care cum counseling and testing services through a networking model from December 01, 2020. The model comprised the following: (1) Dedicated YouTube channel (Nakshatra Health) to provide scientific information on STD and HIV, modes of transmission, clinical symptoms, lab testing, interpretation of results, clinical treatment options, and counseling on prevention, (2) Dedicated telephone helpline was established with WhatsApp to answer the queries of clients by the network venereologists, (3) Dedicated website (www.nakshatra.health) was developed to provide information on STD and HIV and options to clarify doubts and fix appointments online, (4) Clinical consultations were done in a hybrid mode with an option for direct clinic and online consultation. Prescriptions were provided using dedicated software instantly, (5) Networking was done with NABL-accredited labs and collection centers for performing STD and HIV tests with e-test request forms, (6) Networking was done with pharma companies to provide pre- and postexposure prophylaxis (PEP) services to clients through e-prescriptions. Cross referrals were made across the network members to facilitate easy access to clinical services by clients from different parts of Tamil Nadu. The entire concept was branded as \"Nakshatra health\" with a tagline - \"Your sparkling solution for safe sexual health care.\" Quality STD care and ethical practice were the underlying motos of this concept.</p><p><strong>Results: </strong>During the 20 months (December 2020 to July 2022), 6442 phone calls and 9328 WhatsApp messages were received. 82.3% of the calls and messages were queries from ","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a8/63/IJSTD-44-56.PMC10343128.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9826161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral Tyson's abscess as a complication of acute gonorrhea.","authors":"Murugan Sankaranantham","doi":"10.4103/ijstd.ijstd_97_22","DOIUrl":"10.4103/ijstd.ijstd_97_22","url":null,"abstract":"<p><p>Gonococcal infection is known for complications, if not treated promptly and adequately. Although Tysonitis and Tyson's abscess are mentioned in textbooks, only few reports are available as complications of gonorrhea. Bilateral Tyson's abscess in acute gonorrhea is a rare entity when compared to other complications of gonorrhea. The patient responded well to treatment. Unless the physician is familiar with this condition, it may be mistaken for periurethral abscess or even as paraphimosis. Hence, this case is reported to alert the physicians.</p>","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e8/50/IJSTD-44-85.PMC10343134.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9816668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinicoetiological study on vaginal discharge among sexually active women attending a tertiary center in North Kerala, India.","authors":"Nimmi John,&nbsp;S Rahima,&nbsp;Thazhathe Kandi Raji,&nbsp;Parvathy Santhosh,&nbsp;Ajithkumar Kidangazhiathmana,&nbsp;Sreekanth Sukumarakurup","doi":"10.4103/ijstd.ijstd_65_21","DOIUrl":"10.4103/ijstd.ijstd_65_21","url":null,"abstract":"<p><strong>Background: </strong>Vaginal discharge is a common complaint among women attending the sexually transmissible infections (STIs) clinic and is a cause for concern and mental distress. It can be attributed to physiological or pathological causes. This study aims to understand the prevalence of various etiologies of vaginal discharge, which would help frame health policies based on local needs.</p><p><strong>Objectives: </strong>(1) To estimate the prevalence of discharge per vaginum among sexually active women attending the STI clinic at a tertiary care center during a 1-year period, (2) To identify the organisms causing vaginal discharge, (3) To have a clinicoetiological correlation of the cases, and (4) To identify the subspecies of <i>Candida</i> causing vaginal candidiasis.</p><p><strong>Materials and methods: </strong>A total of 126 patients with vaginal discharge attending the STI clinic at a tertiary care center were included in the study. A detailed clinical history, physical examination of the external genitalia, and vaginal examination were done on each patient. Five swabs were taken from the posterior fornix and lateral vaginal wall for evaluation of the organisms.</p><p><strong>Results: </strong>The mean age of the study population was 31.51 ± 7.9 years. Vulvovaginal candidiasis (VVC) was found to be the most common cause of vaginal discharge, followed by bacterial vaginosis, mucopurulent cervicitis, herpes genitalis, and trichomoniasis. The most common species of <i>Candida</i> was found to be <i>Candida albicans</i>.</p><p><strong>Conclusion: </strong>Even though VVC still remains the major cause, other viral infections like herpes significantly contribute. Vaginal discharge is an important indicator of women's reproductive health and its detailed evaluation helps identify the prevalence of various STIs in the community.</p>","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0b/76/IJSTD-44-1.PMC10343118.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10184745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systemic lupus erythematosus in human immunodeficiency virus: An unusual association.","authors":"Archana Aher,&nbsp;Preeti Namjoshi,&nbsp;Jitendra Bhagat","doi":"10.4103/ijstd.ijstd_88_21","DOIUrl":"10.4103/ijstd.ijstd_88_21","url":null,"abstract":"PLT: Platelets, CBC: Complete blood count, WBC: White blood count, HB: Hemoglobin, MCV: Mean corpuscular volume, MCHC: Mean corpuscular hemoglobin concentration, PLT: Platelets, AST: Aspartate aminotranferase, ALT: Alanine aminotrasferase, ALP: Alkaline phosphatase, RT-PCR: Reverse transcription polymerase chain reaction, RBC: Red blood cell, TLC: Total leucocyte count, DLC: Differential leucocyte count, WNL: Within normal limit Surg 2015;2015:434198. 3. Díaz‐Jaime F, Satorres Paniagua C, Bustamante Balén M. Primary chancre in the rectum: An underdiagnosed cause of rectal ulcer. Rev Esp Enferm Dig 2017;109:236‐7.","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4a/8a/IJSTD-44-90.PMC10343123.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10202760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An inscrutable entity: A case report of late congenital syphilis.","authors":"Pratiksha Kanubhai Rathwa,&nbsp;Jatin Chauhan,&nbsp;Nidhi Pravinkumar Patel,&nbsp;Hiral Shah,&nbsp;Nipul V Vara","doi":"10.4103/ijstd.ijstd_1_22","DOIUrl":"10.4103/ijstd.ijstd_1_22","url":null,"abstract":"<p><p>Congenital syphilis is an outcome of maternal syphilis that occurs due to the transmission of <i>Treponema pallidum</i> via the placenta of untreated or inadequately treated pregnant women to their newborns. It is now a very rare cause of neurological, developmental, and musculoskeletal disability and death in infants after the advent of penicillin. Here, we report a case of late congenital syphilis presented with classic stigmata of syphilis at the age of 10 years. Reactive serological titer of rapid plasma reagin test and venereal disease research laboratory test confirmed the diagnosis.</p>","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f2/3c/IJSTD-43-192.PMC9891022.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9230729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emerging trends in sexually transmitted diseases in a tertiary care center in Davangere, Karnataka: A five year study.","authors":"M Anirudh,&nbsp;Sugareddy,&nbsp;Aishwarya Sivuni,&nbsp;Nadiga Rajashekhar,&nbsp;H C Mangala","doi":"10.4103/ijstd.ijstd_109_20","DOIUrl":"10.4103/ijstd.ijstd_109_20","url":null,"abstract":"<p><strong>Background: </strong>Sexually transmitted diseases (STDs) are a public health challenge, and the epidemiological profile is variable by geographical region and distinct from that of other diseases. Accurate knowledge of emerging disease trends is crucial for formulating effective control strategies.</p><p><strong>Aims and objectives: </strong>The aim and objective of this study were to identify the changing scenario and emerging trends of STDs in Davangere, Karnataka, by evaluating patients attending a tertiary care center.</p><p><strong>Materials and methods: </strong>A tertiary care-based retrospective study was conducted by analyzing the clinical records of the attendees presenting to the STD clinic at Chigateri General Hospital affiliated to JJM Medical College in Davangere, Karnataka, for a period of 5 years from January 2015 to December 2019. The collected data were analyzed and statistically compared with other studies.</p><p><strong>Results: </strong>Out of the 614 patients studied, the male-to-female ratio was 2:1, with 30-39 age groups being most affected. Eighty-eight percent of patients were married, with 36.64% giving a history of extramarital contact. Homosexual and bisexual contacts were observed to be 5.21% and 0.65%, respectively. Viral STDs affected nearly half of the patients (49.51%), followed by fungal (28.88%), bacterial (22.63%), and others (3.1%). The most common STD observed was herpes genitalis as seen in 101 (24.48%) patients, followed by candidal balanoposthitis (17.1%). Thirty-three (5.7%) patients were diagnosed with more than one STD. Of these patients, 13 were seropositive for HIV, resulting in a prevalence of 2.12%.</p><p><strong>Conclusion: </strong>The epidemiological profile of STDs is ever changing, and this study found an increase in viral and fungal STDs and downward trend of bacterial STDs comparable to that of studies from other regions.</p>","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e8/ce/IJSTD-43-161.PMC9890987.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10662802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case series of rare nonvenereal vulvar dermatoses.","authors":"Swagata Tambe,&nbsp;Priyanka Patil","doi":"10.4103/ijstd.ijstd_40_21","DOIUrl":"10.4103/ijstd.ijstd_40_21","url":null,"abstract":"<p><p>Nonvenereal vulvar diseases such as syringoma and vestibular papillomatosis can be difficult to differentiate from genital warts. Misdiagnosis of these conditions can lead to improper treatment without significant improvement and prolonged suffering. Histopathology may differentiate these conditions from sexually transmitted diseases and help in appropriate treatment. Here, we present case series of four rare vulvar diseases.</p>","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/45/da/IJSTD-43-210.PMC9891024.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10717701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}