How are infections transmitted during sex?
Direct innoculation (e.g HSV through skin-skin contact)
Trauma (e.g HCV)
Ingestion (e.g shigella)
Fomites (e.g gonorrhoea, objects)
Injecting drugs (e.g HIV, HCV)
Sex under the influence of ___ is becoming more common.
What are some risk factors for developing STIs?
< 25 years old
Different sexual partners
Sex without condoms
Where in the GI tract can STIs present?
All the way down
What is an endoscopy which examines the rectum only?
20-40% of people with gonorrhea will also have ___.
How is an STI like gonorrhoea treated?
Who needs to be informed following a diagnosis of STI?
Which microorganism causes rectal gonorrhoea?
What transmits Neisseria gonorrhoea?
Direct contact of mucosal surfaces / mucosa-fomite
What are the symptoms of rectal gonorrhoea?
Lower abdominal pain
What symptoms may also be associated with rectal gonorrhoea?
Altered urinary habits
What may be seen upon proctoscopy of someone with rectal gonorrhoea?
What is a complication of rectal gonorrhoea if untreated?
Which microorganism causes rectal chlamydia?
Rectal chlamydia has a similar presentation to gonorrhoea but generally there is less ___.
Chlamydia has a similar presentation to gonorrhoea (abdo. pain, rectal bleeding, tenesmus) but tends to be (more / less) severe with (more / less) pus.
How is chlamydia treated with drugs?
Azithromycin or doxycycline (better clearance)
___ is a multi-system disease.
___ is often the cause of multi-system presentations which don't make much sense.
Which specific antibiotic is used to treat syphilis?
How does primary syphilis present?
Solitary painless ulcer at site of infection
How does secondary syphilis present?
Mucosal ulcers, patchy inflammation - mouth, anogenital, rectal
Condylomata lata - warty lesions in warm, moist regions
Systemic inflammation - nausea, fever, lymphadenopathy
Where does herpes simplex infection occur?
Peri-anal mucosa extending into the rectum
What type of drug is used to treat herpes simplex infection?
Which infection is now vaccinated against in girls and presents as anal warts?
slide 37 - chlamydia +ve but wouldn't cause fever
LGV - mimics IBD, common in HIV+ men
treatment is doxycycline
Which immune-related infection causes loss of GALT tissue?
What complications can this lead to?
Which infection is common in HIV+ men who partake in sex with other men?
Lymphogranuloma venerum (LGV)