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Sexually Transmitted Diseases. Syphilis. Organism: Treponema pallidum S.C. cases: 156 (2000), 185 (2001, so far) Primary Syphilis Chancre Spirochetes +. Chancre of Primary Syphilis on Penis. Chancre of Primary Syphilis on Labium. Chancre of Primary Syphilis on Lip. Syphilitic Chancre .

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syphilis
Syphilis
  • Organism: Treponema pallidum
  • S.C. cases: 156 (2000), 185 (2001, so far)
  • Primary Syphilis
    • Chancre
    • Spirochetes +
slide7

Syphilitic Chancre:

Proliferative endarteritis and infiltrate rich in plasma cells

slide8

Spirochetes Demonstrated with a

Warthin-Starry Silver Stain

syphilis9
Syphilis
  • Organism: Treponema pallidum
  • Primary Syphilis
    • Chancre
    • Spirochetes +
    • Serology maybe negative
syphilis10
Syphilis
  • Secondary Syphilis
    • Mucocutaneous lesions
syphilis14
Syphilis
  • Secondary Syphilis
    • Mucocutaneous lesions
    • Condyloma lata
syphilis16
Syphilis
  • Tertiary syphilis
    • Cardiovascular syphilis
syphilis18
Syphilis
  • Tertiary syphilis
    • Cardiovascular syphilis
    • Neurosyphilis
syphilis19
Syphilis
  • Tertiary syphilis
    • Cardiovascular syphilis
    • Neurosyphilis
    • Benign tertiary syphilis
congenital syphilis
Congenital Syphilis
  • Stillbirth
  • Snuffles
slide22

Congenital Syphilis –

Snuffles and Rash

congenital syphilis23
Congenital Syphilis
  • Stillbirth
  • Snuffles
  • Tardive
    • Hutchinson’s incisors
congenital syphilis25
Congenital Syphilis
  • Stillbirth
  • Snuffles
  • Tardive
    • Hutchinson’s incisors
    • Saddle nose
gonorrhea
Gonorrhea
  • Organism: Neisseria gonorrhoeae
  • S.C. Cases: 6,199 (2000), 5,714 (2001 so far)
  • Most common reportable communicable disease
  • Males: dysuria with discharge
gonorrhea30
Gonorrhea
  • Organism: Neisseria gonorrhoeae
  • Most common reportable communicable disease
  • Males: dysuria with discharge
  • Females: dysuria and PID
nongonococcal disease
Nongonococcal Disease
  • Most common class of STD’s
  • Chlamydia – S.C. cases: 6,902 (2000), 8,362 (2001, so far)
  • Mycoplasma
chancroid
Chancroid
  • Organism: Hemophilus ducreyi
  • Like syphilis but ulcer PAINFUL
  • May have multiple inoculation sites
granuloma inguinale aka donovanosis
Granuloma Inguinale (AKA Donovanosis)
  • Organism: Calymmatobacterium donovani
  • Protuberant granulation tissue
  • Maybe disfiguring
lymphogranuloma venerum
Lymphogranuloma venerum
  • Organism: Chlamydia trachomatis
  • Nonspecific inflammation and ulcers
  • Strictures and scarring common
trichomoniasis
Trichomoniasis
  • Organism: Trichomonas vaginalis
  • Protozoan causing vaginitis
  • Males usually asymptomatic
genital herpes
Genital Herpes
  • Organism: usually HSV type 2
  • 30 million Americans affected
  • Painful vesicles
genital herpes50
Genital Herpes
  • Organism: usually HSV type 2
  • 30 million Americans affected
  • Painful vesicles
  • Repeated outbreaks
  • Lifetime infection
  • Possible neonatal infection
human papilloma virus
Human Papilloma Virus
  • Venereal warts
human papilloma virus61
Human Papilloma Virus
  • Venereal warts
  • Considered to be precancerous
  • Lifetime infection