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Type II herpes infection

Written by Dr.Chris

Type II herpes infection of the eyes is a complication seen in infants born to mothers suffering from herpetic vaginitis or cervicitis. So all pregnant women with herpetic vaginitis should be delivered by elective Caesarian section to prevent contact infection of new born and subsequent fatal encephalitis.
In Reiter’s syndrome, another STD, conjunctiva gets involved bilaterally […]


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Gonococcal conjunctivitis

Written by Dr.Chris

Gonococcal conjunctivitis is only rarely seen in adults and results from direct contamination of the eye with pus due to gross carelessness and lack of hygiene. If not treated promptly, it will lead to corneal ulceration and panophthalmitis. If a pregnant woman with gonococcal cervicitis is not treated properly, she may give birth to a […]


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Choroiditis

Written by Dr.Chris

Choroiditis is common in early congenital syphilis but it is likely to be overlooked. Residual evidence may be found as stigmata in later life as ‘pepper and salt’ fundus. Interstitial keratitis is the commonest eye lesion seen in congenital syphilis. Dull pink patches-salmon patches-may be noted at the periphery of the cornea.
Interstitial keratitis in congenital […]


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Reiter’s Disease

Written by Dr.Chris

Reiter’s Disease syndrome includes non gonococcal urethritis, polyarthritis and conjunctivitis or iritis. Damage to the urethral and intestinal mucosa by organisms (? chlainyd49 acts as a predisposing factor. Males usually between the ages of 20 and 40 are affected.
Other associated features include skin lesions like ‘keratoderma blenorrhagica’ of palms and soles, erosions of buccal mucosa, […]


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Acquired Immune Deficiency Syndrome

Written by Dr.Chris

AIDS is a recently reported disease prevalent in USA. The-nature of the causative agent is still not well understood: The: disease is transmitted by sexual contact. It is more common in homosexuals.
The disease becomes fatal in most cases and there is an associated extreme supression of the immune status of the patient. Increased incidence of […]


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Treatment of candidal Balanoposthitis

Written by Dr.Chris

Inflammation of the glans penis and prepuce is called balanoposthitis. Commonest cause of inflammation of this area is lack of hygiene. Normally the secretions from the sebaceous glands, get collected in the prepucial sac. Whitish material may he seen getting deposited at this site. It is called `smegma’. It is an irritant. If urine constantly […]


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The problem of STD

Written by Dr.Chris

In recent years, there has been a tremendous increase in incidence of various sexually transmitted diseases, throughout the world. This increase is due to various factors. Rapid industrialisation has led to the movement of people from rural areas to urban areas. These people are away from their families for long time. Poverty is an important […]


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How to Control STD

Written by Dr.Chris

The first step in control of any infectious disease is to find out the source of infection and treat it. Main source of the disease in most countries is prostitution. Unless poverty is wiped out, prostitution cannot be controlled. Proper licensing and periodic check up of these prostitutes are the important steps to be taken.
They […]


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Leukorrhoea and STD

Written by Dr.Chris

Leukorrhoea-excessive abnormal vaginal discharge- may sometimes be a manifestation of sexually transmitted diseases like gonorrhoea, trichomoniasis, candidiasis and non specific urogenital infections (chlamydial, mycoplasmal etc). In such cases the diagnosis depends on demonstration of causative organisms.
Vaginal examination is done after making the patient to lie in lithotomy position. After lubricating with saline, introduce the Cusco’s […]


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The eyes in sexually transmitted diseases

Written by Dr.Chris

In recent years, there has been a tremendous increase in the incidence of various Sexually Transmitted Diseases, all over the world. So naturally, the ophthalmologists are likely to come across more number of cases in their clinics with a venereological background. Syphilis and gonorrhoea are the two major venereal diseases in most countries. Syphilis, caused […]


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Trichomoniasis

Written by Dr.Chris

Infection of vagina may be caused by a flagellated protozoa, Trichomonas vaginalis. It is a common cause for pruritus vulvae. There will be profuse, thin, frothy, yellowish, foul smelling discharge from vagina. Excoriations may be noted around the vulva.
Associated urethritis may cause dysuria and frequency of micturit ion. Trichomonal infection is a rare cause of […]


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Condyloma Acuminata

Written by Dr.Chris

After an incubation period, of 6 weeks to 8 months, patient develops warty papules on the genitalia. On moist surfaces it may grow into exuberant, cauliflower like growths.
Treatment of Condyloma Acuminata consists of application of 20% tincture podophyllin over the lesions, after protecting the surrounding skin with petrolatum. Application of podophyllin may be repeated after […]


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Herpes Genital’s

Written by Dr.Chris

Herpes Genital’s is caused by Herpes simplex type II virus. After an incubation period of 4 to 5 days, patient develops grouped vesicles on an erythematous base on the genitalia. Vesicles rupture in a few hours or in a day or two to leave multiple, tiny, grouped erosions. Unless secondarily infected, the lesions will heal […]


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Nongonococcal Urethritis

Written by Dr.Chris

Urethral inflammation due to causes other than gonococci is termed nongonococcal urethritis (NGU). Only in a minority of cases aetiological agents can be made out by routine laboratory procedures. These include bacterial, viral, fungal and parasitic infections, physical, chemical and mechanical traumas and malignancy. Majority of cases are caused by Chlamydia trachomatis serotypes D to […]


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Granuloma Inguinale

Written by Dr.Chris

Granuloma Inguinale is caused by a bacteria called Calymmatobacterium granulomatis, also named as Donovan bodies. These bodies are encapsulated rods and are found within large mononuclear cells (histiocytes) in tissue smears taken from the lesions. Leishman’s staining or Geinisa stain may show the safety pin like organisms having bipolar condensation of chromatin. Incubation period may […]


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