ABSTRACT
Of 609 male patients seen for sexually transmitted disease, 94 (15.4%) admitted to having had orogenital intercourse; 30 (5%) had practiced it during their last contact. Ten of the 30 patients admitting to fellatio during their last exposure had gonococcal urethritis. Three of these men practiced fellatio exclusively with prostitutes, and their cases demonstrate the inherent risk of oral-to-genital transfer of sexually transmitted disease. All three patients responded favorably to therapy with ampicillin and probenecid.
Subject(s)
Gonorrhea/transmission , Sexual Behavior , Urethritis/etiology , Adult , Ampicillin/therapeutic use , Humans , Male , Probenecid/therapeutic use , Urethritis/diagnosis , Urethritis/drug therapy , Urethritis/microbiologyABSTRACT
A 58-year-old Chinese woman presented with syphilis d'emblée. Seven weeks after a blood transfusion lesions appeared on the palms of her hands and the soles of her feet. These gradually increased in number and other lesions developed on the scalp and palatal mucosa. One of the blood donors was found to have had positive serological test results for syphilis but no clinical symptoms or signs. This case illustrates the danger inherent in the use of whole fresh blood for transfusion purposes.
Subject(s)
Syphilis/transmission , Transfusion Reaction , Female , Humans , Middle AgedABSTRACT
Although penicillinase-producing strains of Neisseria gonorrhoeae (PPNG) were discovered in 1976 in neighbouring countries, not until 1980 were such strains isolated and identified in Indonesia. In that year PPNG were detected in three male patients with gonococcal urethritis in Surabaya. The minimum inhibitory concentration of penicillin G for all three strains was 12 . 5 microgram/ml.
Subject(s)
Neisseria gonorrhoeae/isolation & purification , Penicillinase/biosynthesis , beta-Lactamases/biosynthesis , Gonorrhea/microbiology , Humans , Indonesia , Male , Neisseria gonorrhoeae/enzymologyABSTRACT
A case of trichomonas vaginalis infection involving the median raphe of the penis is presented. The infection was contracted after sexual exposure. The patient had no urethral discharge but had a penile swelling tht discharged pus. Microscopic examination and culture of the discharge showed the presence of T. vaginalis. Treatment with metronidazole (250 mg thrice daly for seven days) eradicated the infection, but the swelling remained and a cyst was excised. One month after the surgical procedure, the patient was clinically normal and cured of the infection.
