{"title":"Anatomic site distribution of <i>Neisseria gonorrhoeae</i> in men who have sex with men attending a tertiary care hospital in North India.","authors":"Rachna Verma, Somesh Gupta, Niharika Gupta, Rajendra Singh, Rajni Mala, Seema Sood","doi":"10.4103/ijstd.ijstd_80_23","DOIUrl":"10.4103/ijstd.ijstd_80_23","url":null,"abstract":"<p><strong>Background and objectives: </strong>Anorectal and pharyngeal infections with <i>Neisseria gonorrhoeae</i> (NG) are common in men who have sex with men (MSM). However, they are often asymptomatic and found in the absence of reported risk behavior and concurrent genital infection. These serve as a hidden reservoir for ongoing transmission and may cause complications. Additionally, they drive the transmission of other sexually transmitted infections (STIs) including HIV and may contribute to the development of antimicrobial resistance. The current study was undertaken to study the anatomic site distribution of gonococcal infection in MSM as limited data are available from India.</p><p><strong>Materials and methods: </strong>A total of 127 MSM patients attending the STI clinic Dermatology Outpatient Department of AIIMS were included in the study. A duplex polymerase chain reaction (PCR) targeting <i>opa</i> and <i>porA</i> psuedogene targets using in-house primers was standardized and used for testing. In addition, all samples were processed by conventional methods, i.e., microscopy and culture.</p><p><strong>Results: </strong>A total of 26 patients were found to be positive for NG by PCR with a prevalence rate of 20%. The prevalence rate for urethral, rectal, and pharyngeal gonorrhea was 8.7%, 9.4%, and 4.7% respectively. Out of the 26 positives, 15 patients, i.e., 57.7%, had only extragenital infections and none were positive at all three sites. On the other hand, only three patients were culture positive at the urethral site.</p><p><strong>Discussion: </strong>We would have missed approximately 60% of the infections if the testing was restricted to genital sites only.</p><p><strong>Conclusion: </strong>An expanded testing including extragenital sites for screening of gonococcal infection in MSM will have clinical and public health benefits.</p>","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":"45 2","pages":"116-119"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068616","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":"Micropapillomatosis labialis - Report of three cases.","authors":"Richa Tayal, Sahana Srihari, Vippan Goyal","doi":"10.4103/ijstd.ijstd_45_23","DOIUrl":"10.4103/ijstd.ijstd_45_23","url":null,"abstract":"<p><p>Vestibular papillomatosis (VP) is an uncommon benign condition. This condition is very rare; hence, its incidence is difficult to estimate. It has been recorded in healthy young women in the range of 1%-33%. Owing to the papillomatous appearance of the lesion, it is often misdiagnosed as condyloma acuminatum, resulting in unnecessary investigations and multitude of treatments, which adds to the physical and economical burden on patients. We present three cases of VP.</p>","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":"45 2","pages":"128-131"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068721","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":"Challenges in status disclosure and adherence to antiretroviral therapy in children living with HIV: An observational study.","authors":"Shivali Aggarwal, Rupinder Walia, Dimple Chopra, Vishal Malhotra, Sharang Gupta, Shreya Malhan, Harmeet Singh","doi":"10.4103/ijstd.ijstd_81_23","DOIUrl":"10.4103/ijstd.ijstd_81_23","url":null,"abstract":"<p><strong>Background and objectives: </strong>The advent of highly active antiretroviral therapy has increased the longevity in children living with HIV (CLHIV), which has brought forth new concerns related to status disclosure and adherence to treatment. Information regarding this is limited in Punjab; hence, this study was done to find the relation of disclosure with sociodemographic factors and the problems faced in adhering to antiretroviral therapy (ART) in this region.</p><p><strong>Materials and methods: </strong>An observational cross-sectional study was conducted on CLHIVs aged 18 months to 15 years visiting the ART center of a tertiary hospital from June to December 2021. Willing caregivers were approached with semistructured validated pretested questionnaire developed for the study.</p><p><strong>Results: </strong>Ninety-eight caregivers of CLHIV were interviewed and 25% were found to be aware of their serostatus. Children between 5 and 12 years comprised the largest group (57%) and this was also the statistically significant age group in whom the status was not disclosed. Disclosure was more in children having single parents. The low economic status, rural background, and low education status of the caregivers were inversely related to disclosure. Sixty-five percent of the caregivers believed that the appropriate age for status disclosure should be 14-18 years. Adherence was optimal in 85% CLHIVs and distance was the foremost challenge.</p><p><strong>Conclusion: </strong>The mean age for disclosure was found to be higher than the World Health Organization guidelines in this study; hence, there is a need to encourage caregivers for timely and systematic disclosure and motivate them for maintaining optimal adherence in CLHIV which is important for the success of ART program.</p>","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":"45 2","pages":"110-115"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068637","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":"Comment on \"A cross sectional study of noninfectious - Nonvenereal genital dermatoses among adult males at the tertiary care hospital in South Gujarat\".","authors":"Saurabh RamBihariLal Shrivastava","doi":"10.4103/ijstd.ijstd_140_24","DOIUrl":"10.4103/ijstd.ijstd_140_24","url":null,"abstract":"","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":"45 2","pages":"166-167"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068597","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":"Comments on previous two articles.","authors":"Murugan Sankaranantham","doi":"10.4103/ijstd.ijstd_84_24","DOIUrl":"https://doi.org/10.4103/ijstd.ijstd_84_24","url":null,"abstract":"","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":"45 2","pages":"169"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068601","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}
Sameeha Hamza Chenganasseri, Suraj Mali, Amulya Bathula, Indira Danturty, A Venkata Krishna, T Rajeev Singh
{"title":"Unusual manifestations of syphilis in HIV.","authors":"Sameeha Hamza Chenganasseri, Suraj Mali, Amulya Bathula, Indira Danturty, A Venkata Krishna, T Rajeev Singh","doi":"10.4103/ijstd.ijstd_5_24","DOIUrl":"10.4103/ijstd.ijstd_5_24","url":null,"abstract":"<p><p>Over the past decade, there has been a significant increase in cases with syphilis and HIV coinfection. Concordant infection with HIV can alter the clinical course and response to treatment in syphilis. Variable and unusual presentations of syphilis in HIV disease can make early diagnosis and treatment challenging. We, herein, report four cases of atypical manifestations of syphilis in patients with HIV coinfection.</p>","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":"45 2","pages":"125-128"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068485","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}
Lakshmiprasad Lakshmipathi, Yogindher Singh, Brinda G David
{"title":"Atavism of gonococcal urethritis and genital warts concurrence in a seronegative host.","authors":"Lakshmiprasad Lakshmipathi, Yogindher Singh, Brinda G David","doi":"10.4103/ijstd.ijstd_83_23","DOIUrl":"10.4103/ijstd.ijstd_83_23","url":null,"abstract":"","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":"45 2","pages":"167-168"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068629","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":"Letter in response to \"Risk factors associated with increasing prevalence of gonorrhea and the antimicrobial susceptibility profiles of <i>Neisseria gonorrhoeae</i> among adolescents: A decade-long, hospital-based study from India\".","authors":"Aarushi Arunima, Tarun Narang, Bhushan Kumar","doi":"10.4103/ijstd.ijstd_137_24","DOIUrl":"10.4103/ijstd.ijstd_137_24","url":null,"abstract":"","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":"45 2","pages":"172-173"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068718","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":"Multifaceted lichen planus: Vulvovaginal-gingival syndrome with coexisting cutaneous, nail, and hair manifestations in a singular clinical saga.","authors":"Anjana Rajenesh, Sharang Gupta, Dimple Chopra","doi":"10.4103/ijstd.ijstd_113_23","DOIUrl":"10.4103/ijstd.ijstd_113_23","url":null,"abstract":"<p><p>Lichen planus (LP) is a chronic inflammatory disorder primarily affecting the skin and mucous membranes, characterized by pruritic, violaceous papules often exhibiting a polygonal pattern. This dermatological disorder can affect various sites of the body, including the skin, nails, hair, and mucous membranes out of which the oral mucosa is the most commonly affected. We report a case of a 40-year-old female with a unique combination of cutaneous, nail, and mucosal LP manifestations coexisting with lichen planopilaris and vulvovaginal-gingival syndrome.</p>","PeriodicalId":44880,"journal":{"name":"Indian Journal of Sexually Transmitted Diseases and AIDS","volume":"45 2","pages":"131-133"},"PeriodicalIF":0.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067693","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}