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Urinary and Reproductive Diseases: Lecture 5 (Genital Herpes (s/s: small…
Urinary and Reproductive Diseases: Lecture 5
Genital Herpes
s/s: small blisters on or around genitals/rectum, filled with clear straw colored fluid that breaks and forms painful ulcers, myalgia, malaise, fever, and low appetite
Pathogen- human herpes virus type 2 or 1
kills epithelial cells at site
blisters may form at site
blister ruptures and releases virus into sores
virus sheds through mucous secretions even in absence of lesions
babies can be infected during birth
pt can infect own self or other esophagus, skin, or eyes
with this you are 4x more likely to get AIDS
dx by lesion and detected virus DNA by PCR by fluid
Treat: Acyclovir or other agents can lesson symptoms but not sure
circumcised males decrease risk
condoms do little protection
infected women should have a c-section
Genital Warts
also called papillomas
harmless growth of epithelium on skin of face, trunk, elbows, knees, hands, feet, genitalia
Pathogen- human papillomavirus; invades skin or membrane
large growths are called condylomata acuminate
takes 3-4 months for development
causes nearly all cervical cancers
dx by presence of them
do not use over-the-counter medication
vaccine available
prevent by abstinence
condoms reduce but doesn't eliminate risk
Trichomoniasis
s/s: foul smelling, yellowish green vaginal discharge, vaginal irritation, possible lesions, abdominal pains, painful urination, painful sex; men are asymptomatic and think they have gonorrhea
Pathogen- Trichomonas vaginalis
transmitted through sexual intercourse
most curable STD in women
this disease increases risk for HIV infection
dx by presence of trichomonas in clinical samples
Treat with a single dose of oral metronidazole or tindazole
prevent by not engaging gin sexual relations with infected person