... Infections:
Overview and Clinical Approach
(Part 1)
Harrison's Internal Medicine > Chapter 124. Sexually Transmitted
Infections: Overview and Clinical Approach
Classification and ... ectoparasites, and fungi.
b
Among U.S. patien
ts for whom a risk factor can be ascertained, most
hepatitis B virus infections are transmitted sexually or by...
... initial therapy.
Chapter 124. Sexually Transmitted Infections:
Overview and Clinical Approach
(Part 5)
1. Treat urethritis promptly, while test results are pending.
Table 124- 4 summarizes ... are pending.
Table 124- 4 summarizes the steps in management of sexually active men
with urethral discharge and/ or dysuria.
Table 124- 4 Management of Urethral Dischar...
... Megasphaera, Leptotrichia,
Eggerthella, and Dialister.
Figure 124- 2
Chapter 124. Sexually Transmitted Infections:
Overview and Clinical Approach
(Part 9)
Bacterial Vaginosis
This syndrome ... S Hillier et al, in KK Holmes et
al (eds). Sexually Transmitted Diseases, 4th ed. New York, McGraw-Hill, 2008.]
(formerly Bacteroides spp.), and some Peptostr...
... correlates better with symptoms.
Chapter 124. Sexually Transmitted Infections:
Overview and Clinical Approach
(Part 10)
Bacterial Vaginosis: Treatment
The standard dosage of metronidazole ...
distinguish from the fissures and inflammation caused by candidiasis. Signs of
vulvovaginal candidiasis include vulvar erythema, edema, fissures, and tenderness.
With ca...
... Transmitted Infections:
Overview and Clinical Approach
(Part 15)
Pelvic Inflammatory Disease: Treatment
The 2006 CDC guidelines recommend initiation of empirical treatment for
PID in sexually ... sound clinical trials (especially with prolonged follow-up) have
been conducted, one meta-analysis suggested a benefit of providing good coverage
against anaerobes.
Chapte...
...
Source: From RM Ballard, in KK Holmes et al (eds):
Sexually Transmitted
Diseases, 4th ed. New York, McGraw-Hill, 2008.
Table 124- 7 Clinical Features of Genital Ulcers
Feature
Syp
hilis ... relatively
Sero
us,
erythematou
s,
Puru
lent, blee
ds
easily
Variable,
nonvascular
Red
and velvety,
bleeds
readily
nonvascula
r
nonvascular
Indurati
on
Fir
m
None
Soft...
... with the initial episode of genital erpes or
Chapter 124. Sexually Transmitted Infections:
Overview and Clinical Approach
(Part 18)
Table 124- 8 Initial Management of Genital or Perianal ... primary syphilis. If dark-field examination and a rapid
serologic test for syphilis are initially negative and the patient will comply with
follow-up and sexual abstinen...
... HIV infection, enteritis is often attributable to Giardia
Chapter 124. Sexually Transmitted Infections:
Overview and Clinical Approach
(Part 19)
Ulcerative Genital or Perianal Lesions: Treatment ... involves the most distal
rectal mucosa and the anal crypts and is clinically mild, without systemic
manifestations. In contrast, primary proctitis due to HSV and pr...
... for preventive and clinical interventions
against
sexually transmitted diseases (STDs). [
Adapted from HT Waller and MA Piot:
Bull World Health Organ 41:75, 1969 and 4
3:1, 1970; and from "Resource ... males and females against all STIs that have been
examined, including HIV, HPV, and HSV infections as well as gonorrhea
and chlamydial infection. The only exceptions...
... and valacyclovir for
suppression of recurrent gen
ital herpes and viral shedding. Sex Transm Dis
33:529, 2006 [PMID: 16540883]
Chapter 124. Sexually Transmitted Infections:
Overview and Clinical ... women and teenage girls attending STD clinics and for sexually
active teens and young women from areas of high gonorrhea prevalence.
Multiplex NAATs that combine scr...