1/8. Testicular cancer in homosexual men with cellular immune deficiency: report of 2 cases.Embryonal cell carcinoma of the testis was seen in 2 homosexuals with peripheral lymphadenopathy of the head and neck, and abnormal cellular immunity measured by reduced T helper cells and increased T suppressor cells. One patient had no history of venereal disease but had taken marijuana, nitrites and methyl-dextroamphetamines regularly. The other patient had a history of syphilis, gonorrhea, hepatitis and venereal warts but rarely used inhalant recreational drugs. Both patients had smoked cigarettes. Neither patient had any known risk factors that predisposed to testicular cancer. biopsy of a supraclavicular lymph node in 1 patient showed histological features of reactive follicular hyperplasia similar to those described previously in the acquired immune deficiency syndrome. These cases of testicular cancer increase the spectrum of rare cancers developing in young male homosexuals with acquired cellular immune abnormalities.- - - - - - - - - - ranking = 1keywords = venereal disease (Clic here for more details about this article) |
2/8. The virus of hepatitis B a new dimension in the diagnosis of sexually transmitted disease.Ten patients presenting with venereal or dermatological disorders have been found to have evidence of infection with the virus of hepatitis B; only five had distinguishable liver dysfunction, yet all had either detectable antigen or antibody. Antigen subtype ayw has been identified in four of these people. Once rare in the local population, hepatitis b virus infection appears to be increasing in incidence with cases attributable to inoculation and to direct contact, as well as presenting as a covert partner to gonorrhoea, urethritis and candidiasis. Testing for hepatitis B antigen and antibody is recommended for patients attending the venereal diseases clinic, for patients presenting for removal of tattoos, for those with suspected drug taking and for Polynesians, in whom the carrier rate may be expected to be high (Austin and others, 1974). In our current clinical practice the sterilisation of instruments, the handling of patients, and the transmission of specimens to the laboratory have been reviewed in the light of the US public health Service supplement 1976, Perspectives on the Control of Viral Hepatitis, Type B.- - - - - - - - - - ranking = 1keywords = venereal disease (Clic here for more details about this article) |
3/8. Treatment of venereal disease in the penicillin-allergic patient: administration of penicillin following testing with major and minor determinants.We describe the administration of penicillin for venereal disease in three penicillin-allergic patients for whom alternative antibiotics were not considered suitable. Each patient was skin test negative to the major penicillin determinant benzylpenicilloyl-polylysine and a minor determinant mixture of potassium penicillin, benzylpenicilloate and benzylpenicilloyl-n-propylamine provided by the National Institute of Allergy and Infectious Diseases. Therapeutic doses of penicillin were administered without anaphylaxis, but one patient developed serum sickness on day five following benzylpenicillin. The skin testing results were determined within 30 minutes such that penicillin or its derivatives could be administered safely and rapidly to seriously ill patients, i.e. disseminated gonococcemia. When treating neurosyphilis or disseminated gonococcal infection for which non-penicillin therapy is unacceptable, use of the current skin test reagents provides a level of safety in avoiding anaphylaxis not previously attainable.- - - - - - - - - - ranking = 5keywords = venereal disease (Clic here for more details about this article) |
4/8. Superimposed traumatic and gonococcal proctitis: report of two cases.Two men sought treatment at an emergency room with apparent gonococcal proctitis. Further evaluation after failure of antibiotic therapy in both patients revealed that rectal damage resulting from the patients' sexual habits had resulted in a severe traumatic proctitis. The discovery of several organisms, including neisseria gonorrhoeae and two nonpathogenic amebas, was probably only incidental. Two points are emphasized: the importance of obtaining a complete sexual history for every patient treated for venereal disease, and the inherent complications associated with anorectal manipulation.- - - - - - - - - - ranking = 1keywords = venereal disease (Clic here for more details about this article) |
5/8. gonorrhea in a five year-old boy with hematuria.A case of hematuria due to gonorrheal infection occurring in a 5 year-old child is described. Since venereal disease in a prepubertal child may reflect sexual abuse, all cases of prepubertal gonorrhea should be carefully investigated.- - - - - - - - - - ranking = 1keywords = venereal disease (Clic here for more details about this article) |
6/8. Multiple sexually transmitted diseases.There are at least 16 possible sexually transmitted diseases, and it is not uncommon to find patients suffering from two or more sexually transmitted infections or infestations. Case histories of two men, one with gonorrhea, scabies, and pediculosis pubis, the other with syphilis and scabies, illustrate this point. It is to be emphasized that when one venereal disease is found, the clinician should look for another.- - - - - - - - - - ranking = 1keywords = venereal disease (Clic here for more details about this article) |
7/8. Gonorrheal infections in the oropharynx.In the otolaryngology literature, little attention is given to pharyngeal gonococcal infections. In the past, gonorrheal stomatitis was emphasized; recent publications dealt especially with tonsillitis. A gonococcal focus in the tonsil is not easily eradicated and often leads to diseminated gonorrhea with arthritis. Homosexual contacts are of importance. Among 196 patients with suspected venereal disease (93 men and 103 women), 74 had genital or rectal gonorrhea, or both; two female patients had an isolated gonococcal pharyngeal infection. A positive gonococcal pharyngeal culture was obtained from one homosexual man who had tonsillitis. In all cases of tonsillitis in "young" adults, the otolaryngologist should be aware of the possibility of a gonorrheal infection. Even if there is the slightest suspicion, a tonsillar culture for gonococci is required, for which suction of the crypts is recommended.- - - - - - - - - - ranking = 1keywords = venereal disease (Clic here for more details about this article) |
8/8. culture, community medicine and venereal disease.This paper reports a remarkable case of venereal disease. It discusses the serious implications and enormous difficulties of control in an Aboriginal community in which striking cultural practices play a unique and major role in disease transmission. Despite known aetiology and the ready availability of inexpensive treatment, patients continue to suffer whilst health education remains extremely difficult.- - - - - - - - - - ranking = 5keywords = venereal disease (Clic here for more details about this article) |