Genital ulcer disease in men in Durban, South Africa.
Genitourin Med
; 67(4): 327-30, 1991 Aug.
Article
em En
| MEDLINE
| ID: mdl-1655627
ABSTRACT
OBJECTIVE:
To study the microbial aetiology of genital ulcer disease (GUD) in men.DESIGN:
Microbiological and clinical assessment of genital ulcers in men.SETTING:
City Health sexually transmitted diseases clinic, King Edward VIII Hospital, Durban, South Africa.PARTICIPANTS:
100 Zulu men with genital ulcers who had not received antibiotics in the previous four weeks.RESULTS:
Syphilis was diagnosed in 42%, chancroid in 22%, donovanosis (granuloma inguinale) in 11%, genital herpes in 10% and lymphogranuloma venereum (LGV) in 6%. No pathogens were identified in 24%. Mixed infections were detected in 14 men, in whom 13 had syphilis. Five men had HIV-1 antibodies. Neisseria gonorrhoeae was isolated from the ulcers and urethra in seven men and from the urethra alone in five. Scabies was diagnosed clinically in eight.CONCLUSIONS:
All the major causes of GUD are prevalent in Zulu men in Durban. Primary syphilis was the commonest and was invariably present in mixed infections. Donovanosis was under-reported and was associated with a long delay before presentation. In this population, genital ulcers other than superficial lesions should be treated with anti-syphilitic therapy and oral antibiotics effective against chancroid and donovanosis.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Treponema pallidum
/
Úlcera
/
Calymmatobacterium
/
Haemophilus ducreyi
/
Doenças dos Genitais Masculinos
Tipo de estudo:
Prevalence_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Animals
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Africa
Idioma:
En
Revista:
Genitourin Med
Assunto da revista:
DOENCAS SEXUALMENTE TRANSMISSIVEIS
/
UROLOGIA
Ano de publicação:
1991
Tipo de documento:
Article
País de afiliação:
África do Sul