Emergence of genital infections due to Haemophilus pittmaniae and Haemophilus sputorum.

BACKGROUND: We report for the first time the association of Haemophilus pittmaniae and Haemophilus sputorum with urethritis in men who have sex with men and who engage in unprotected intercourse. PATIENTS AND METHODS: A search for genital pathogens was conducted using urethral exudate cultures and PCR tests for Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma spp., and Ureaplasma spp. Recovered microorganisms were identified by MALDI-TOF mass spectrometry, and their susceptibility was evaluated by diffusion gradient test. RESULTS: H. pittmaniae and H. sputorum were isolated. They both proved susceptible to ampicillin, cefixime, and trimethoprim/sulfamethoxazole. H. pittmaniae was also susceptible to tetracycline and H. sputorum to moxifloxacin. CONCLUSION: The increased frequency of potentially resistant Haemophilus spp. isolates in genital exudates highlights the need for greater surveillance of these microorganisms and for their consideration in the differential diagnosis of genital system infections.

Actualización en el diagnóstico de las infecciones de transmisión sexual / Update on the Diagnosis of Sexually Transmitted Infections

Las infecciones de transmisión sexual (ITS) son uno de los problemas de salud pública más frecuentes y universales. Debido a que las ITS son responsables de una alta morbilidad, así como de secuelas graves, es muy importante que todos los profesionales de la salud las tengan en cuenta en el momento de valorar al paciente. La dificultad en el control de las ITS se debe principalmente al retraso diagnóstico. Las pruebas diagnósticas permiten realizar un manejo etiológico, así como facilitar un tratamiento más efectivo tanto de los pacientes sintomáticos como de los asintomáticos, y finalmente permitirán interrumpir de una forma más precoz la cadena epidemiológica de transmisión. En la presente revisión se ha llevado a cabo una actualización acerca de los principales métodos diagnósticos existentes en las ITS más relevantes

Sexually transmitted infections (STIs) are one of the most frequent and universal Public Health problems. Health professionals should be aware of the possibility of STIs due to their high morbidity and the presence of sequelae. The delay in the diagnosis is one of the factors that justifies the difficulty to infections control. Diagnostic tests allow the introduction of aetiological treatment and also lead to treating symptomatic and asymptomatic patients more effectively, as well as to interrupt the epidemiological transmission chain without delay. In this review we have made an update of the main existing diagnostic methods for the more important STIs

Update on the Diagnosis of Sexually Transmitted Infections. / Actualización en el diagnóstico de las infecciones de transmisión sexual.

Sexually transmitted infections (STIs) are one of the most frequent and universal Public Health problems. Health professionals should be aware of the possibility of STIs due to their high morbidity and the presence of sequelae. The delay in the diagnosis is one of the factors that justifies the difficulty to infections control. Diagnostic tests allow the introduction of aetiological treatment and also lead to treating symptomatic and asymptomatic patients more effectively, as well as to interrupt the epidemiological transmission chain without delay. In this review we have made an update of the main existing diagnostic methods for the more important STIs.

Metástasis zosteriformes de porocarcinoma ecrino / Zosteriform Metastases From Eccrine Porocarcinoma

No disponible

Sarcoma de Kaposi iatrogénico tratado con éxito con timolol tópico / Iatrogenic Kaposi's Sarcoma Successfully Treated with Topical Timolo

No disponible

[Cutaneous leishmaniasis in a Senegal patient]. / Leishmaniasis cutánea en paciente senegalés.

Cutaneous leishmaniasis is a group of diseases with vast clinical polymorphism produced by protozoa of the genus Leishmania, that is acquired through the bite of sandflies. It is an endemic zoonosis in Spain, being the dog the main reservoir. In our country all forms of leishmaniasis are due to Leishmania infantum species, that usually produces mild lesions in uncovered areas, mainly in children. We report an imported case of cutaneous leishmaniasis in a Senegal patient that presented clinical characteristics unusually different from the typical lesions produced by L. infantum that we are used to evaluate. The lesions were multiple, large, very inflammatory and exudative; these differences may be attributed to the type of endemic leishmania in Senegal: L. major. Given the increase in immigrant population and travels abroad, it is essential for the dermatologist to become familiar with skin diseases of tropical areas that, in the near future, will be more common in daily clinical practice.

Leishmaniasis cutánea en paciente senegalés / Cutaneous leishmaniasis in a Senegal patient

Las leishmaniasis cutáneas son un grupo de enfermedades con gran polimorfismo clínico, producidas por protozoos del género Leishmania, que se adquieren a través de la picadura de mosquitos flebotomos. Se trata de una zoonosis endémica en España, actuando el perro como principal reservorio. Todas las formas de leishmaniasis en nuestro país se deben a la especie Leishmania infantum, que suele producir lesiones de carácter leve, en áreas descubiertas, afectando sobre todo a los niños. Se presenta el caso de una leishmaniasis cutánea importada, en un paciente de Senegal, que presentaba unas características clínicas algo distintas de las lesiones típicas producidas por L. infantum que estamos más habituados a ver en nuestro país, ya que las lesiones eran múltiples, de gran tamaño, muy inflamatorias y exudativas, diferencias que creemos pueden atribuirse al tipo de leishmania endémica en Senegal: L. major. Con el aumento de la población inmigrante y los viajes al extranjero, resulta indispensable para el dermatólogo el familiarizarse con cuadros de dermatología tropical que en un futuro muy próximo se harán habituales en la práctica clínica diaria

Cutaneous leishmaniasis is a group of diseases with vast clinical polymorphism produced by protozoa of the genus Leishmania, that is acquired through the bite of sandflies. It is an endemic zoonosis in Spain, being the dog the main reservoir. In our country all forms of leishmaniasis are due to Leishmania infantum species, that usually produces mild lesions in uncovered areas, mainly in children. We report an imported case of cutaneous leishmaniasis in a Senegal patient that presented clinical characteristics unusually different from the typical lesions produced by L. infantum that we are used to evaluate. The lesions were multiple, large, very inflammatory and exudative; these differences may be attributed to the type of endemic leishmania in Senegal: L. major. Given the increase in immigrant population and travels abroad, it is essential for the dermatologist to become familiar with skin diseases of tropical areas that, in the near future, will be more common in daily clinical practice