Sexually Transmitted Infections

After infection, Chlamydia (blue) replicate in a large vesicle inside the cell.

Chlamydia, gonorrhea top list of STDs

Chlamydia and gonorrhea were the two most common infectious diseases in 2007, hitting young women and minorities especially hard, the CDC announces in its annual report on sexually transmitted disease (STD) (accessed April 15, 2009). The more than 1.1 million new diagnoses for chlamydia comprise the most cases ever reported to the CDC for any condition.…

More hep B testing called for

The CDC has expanded its testing recommendations for chronic hepatitis B virus (HBV) infection and, for the first time, has provided health professionals with guidance for effective therapy.

When to use serologic assays for HSV

Under what clinical circumstances would you recommend serum herpes simplex virus (HSV) typing/testing? What information would you provide to a serum-positive but asymptomatic patient?—Adena Bargad, PHD, CNP, ARNP, Gainesville, Fla. The CDC’s 2006 sexually transmitted disease (STD) guidelines recommend serologic assays for (1) recurrent genital symptoms with negative HSV cultures; (2) a clinical diagnosis of…

White eruptions on the penis

CASE #1A 40-year-old uncircumcised black man complained of a white rash he has had on his penis for several years.During that time, he noticed increased pain with sexual activity and occasional pain when he urinated. Tests for sexually transmitted diseases (STDs), including syphilis, chlamydia, gonorrhea, and HIV, were negative. A topical antifungal agent and dicloxacillin…

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