Sexually Transmitted Diseases in Homosexual Men: Diagnosis, Treatment, and Research

ISBN-13: 9781468411669 / Angielski / Miękka / 2012 / 272 str.

David G. Ostrow

Opis

This book is intended to educate the primary health care provider about sexually transmitted and related diseases as they present in homosexually active men. But why a book discussing sexually transmitted diseases (STDs) in this population only? Surely STDs are not limited to homosexual males. The relatively high rates of incidence of many of these diseases among homosexually active men, however, and the large number of associated diagnostic and treatment problems have necessitated the collection into one volume of the information that is par ticularly relevant to the primary health care of this population. A book dealing with current trends in the diagnosis and treatment of sexual diseases can, by nature of the task, be neither encyclopedic nor all-encompassing. In this volume, the choice of disease entities and the amount of material included on each are based on consideration of the amount of current information and the relative degree of uniqueness of a given problem in homosexual men, rather than the absolute frequency of the disease. There is, therefore, a considerable amount of material on hepatitis B and gonococcal infections, reflecting the recent explosion of research and clinical investigation in these two areas. In contrast, little is said about nonspecific urethritis, chancroid, and lymphogranuloma ve nereum. In the case of nonspecific urethritis, although it is extremely common in homosexual men, little progress has been made in diagnosis or therapy."

Spis treści

I. General Considerations.- 1. Factors Affecting the Incidence and Management of Sexually Transmitted Diseases in Homosexual Men.- The Scope of the Problem.- Sex Education.- STD Education.- Physicians’ Attitudes.- Funding for STD Control.- Future Responsibilities.- References.- 2. Sexual Practices History.- 3. Setting Up the Physician’s Office for the Diagnosis and Treatment of Sexually Transmitted Diseases.- Light Sources.- Supplies.- Gram-Staining Facility.- Gonorrhea Diagnosis.- Syphilis Diagnosis.- Diagnosis of Chlamydial and Viral STDs.- Chlamydial Infections (Nongonococcal Urethritis and Lymphogranuloma Venereum).- Genital Herpes.- Molluscum Contagiosum.- Cytomegalovirus Infection.- Condylomata Acuminata (Venereal Warts).- Treatment of Condylomata Acuminata.- Medications.- Emergency Medications and Supplies.- Precautions in the Handling of Patients and Specimens.- Reference.- II. Bacterial Sexually Transmitted Diseases.- 4. Syphilis.- History.- Epidemiology.- Clinical Aspects.- Primary Syphilis.- Secondary Syphilis.- Late and Latent Syphilis.- Treatment.- Follow-Up.- Control.- Priorities for the Future.- Patient Education and Counseling.- Recent Research.- References.- 5. Gonococcal Infections.- David G. Ostrow.- Etiology.- Clinical Aspects of Uncomplicated Infections.- Gonococcal Urethritis.- Gonococcal Proctitis.- Gonococcal Pharyngitis.- Clinical Aspects of Complicated Infection.- Disseminated Gonococcal Infection.- Other Complications.- Diagnosis.- Symptomatic Urethral Gonorrhea.- Gonococcal Proctitis.- Pharyngeal Gonorrhea.- Treatment.- Special Problems in the Initial Treatment of Gonorrhea.- Treatment Failures.- Postgonococcal Urethritis.- Epidemiology of Gonococcal Infection in Homosexual Men.- Prophylaxis.- Control.- Research.- References.- 6. Nongonococcal Urethritis.- Etiology.- Diagnosis.- Treatment.- Control.- References.- III. Enterically Transmitted Diseases.- 7. Amebiasis.- Epidemiology.- Clinical Aspects.- Diagnosis.- Treatment.- Control.- Counseling.- Prevention.- Prospects for Control.- References.- 8. Giardiasis.- Epidemiology.- Clinical Aspects.- Diagnosis.- Treatment.- Control.- References.- 9. Shigellosis.- Etiology.- Epidemiology.- Clinical Aspects.- Diagnosis.- Treatment.- Control.- 10. Viral Hepatitis.- Etiology.- Clinical Aspects.- Acute Hepatitis.- Hepatitis A.- Hepatitis B.- Hepatitis Non-A/Non-B.- Complications of Acute Viral Hepatitis.- Prophylaxis.- Hepatitis A.- Hepatitis Non-A/Non-B.- Hepatitis B.- Control.- Hepatitis B Vaccine.- Long-Term Safety of the Hepatitis B Vaccine.- Counseling Homosexual Males with Hepatitis and Their Sexual Contacts.- References.- IV. Anal Disorders.- 11. Hemorrhoids, Anal Fissure, and Condylomata Acuminata.- Hemorrhoids.- Etiology.- Epidemiology.- Clinical Aspects.- Diagnosis.- Treatment.- Anal Fissure.- Clinical Aspects.- Diagnosis.- Treatment.- Condylomata Acuminata (Venereal Warts).- Etiology.- Epidemiology.- Clinical Aspects.- Diagnosis.- Treatment.- References.- 12. Trauma to the Rectum: Colorectal Foreign Bodies and Manual-Anal Intercourse.- Colorectal Foreign Bodies.- Clinical Aspects.- Diagnosis.- Treatment.- Manual-Anal Intercourse.- Clinical Aspects.- Treatment.- References.- V. Dermatologic Disorders.- 13. Scabies.- Etiology.- Clinical Aspects.- Classic Scabies.- Special Forms of Scabies.- Secondary Infections and Their Complications.- Epidemiology.- Diagnosis.- Skin Scrapings.- Biopsy.- Treatment.- Specific Agents.- Accompanying Medications.- References.- 14. Pediculosis Pubis.- Clinical Aspects.- Diagnosis.- Treatment.- Resistance.- References.- 15. Venereologic Dermatology in Homosexual Men.- Herpes Simplex (Genital and Oral).- General Considerations.- Etiology.- Epidemiology.- Clinical Diagnosis.- Laboratory Diagnosis.- Differential Diagnosis.- Canker Sore versus Herpes.- Behçet’s Syndrome.- Concurrent Syphilis.- Treatment.- Prevention.- Molluscum Contagiosum.- General Considerations.- Etiology.- Clinical Manifestations.- Complications.- Diagnosis.- Differential Diagnosis.- Treatment.- Bacterial and Fungal Anogenital Infections.- Pyogenic Lesions.- Bullous Impetigo.- Bacterial Folliculitis.- Whirlpool Folliculitis.- Ringworm Infections and Candidiasis.- Tinea Cruris.- Vesicular Ringworm.- Chronic Ringworm.- Candidiasis (Moniliasis, Oidomycosis).- Differential Diagnosis.- Treatment.- Allergic Dermatitis.- Topical Medications.- Irritant Dermatitis Resulting from Topical Application.- Irritant versus Allergic Reactions.- Consort Contact Dermatitis.- Contact Dermatitis from Condoms.- Traumatic Dermatologie Problems.- Lesions Caused by Physical Injury.- Traumatic Penile Ulcers.- Sclerosing Lymphangitis of the Penis.- Lymphocele.- Edema of the Penis.- Sexual Trauma in Precipitating Psoriasis of the Anogenital Area.- References.- VI. Acquired Immune Disorders.- 16. Kaposi’s Sarcoma and Other Rare Malignancies in Homosexual Men.- Epidemiology.- Kaposi’s Sarcoma and Acquired Immunodeficiency Syndrome.- Etiology.- Lymphadenopathy Syndrome.- Non-Hodgkin’s Lymphoma.- HLA Phenotype (DR-5) and Kaposi’s Sarcoma.- Viral Influences.- Prognosis.- Diagnosis.- Therapy.- Interferon.- Thymosin Fraction 5.- Chemotherapy.- Treatment of Lymphadenopathy Syndrome.- Hospitalization.- Counseling the Patient with Kaposi’s Sarcoma.- Counseling the Asymptomatic Patient.- References.- 17. Diagnosis and Treatment of Acquired Immune Deficiency States and Opportunistic Infections.- Acquired Immunodeficiency Syndrome.- Clinical and Immunologic Evaluation.- Diagnosis of Opportunistic Infections.- Candidal Infections.- Cryptococcal Meningitis.- Cryptococcosis: Pneumonia and Disseminated Disease.- Therapy of Fungal Infections.- Mycobacterial Infections.- Viral Infections.- Protozoal Infections: Pneumocystis carinii.- Toxoplasmosis.- Cryptosporidium.- Modulation of Immune Status.- Counseling the Patient with AIDS.- References.- VII. A Special Consideration.- 18. Medical Consequences of the Inhalation of Volatile Nitrites.- Appendix. Sexually Transmitted Diseases: Treatment Guidelines, 1982.