文档介绍：传染病-2淋病
Sexually transmitted diseases, STD
Syphilis 梅毒
Gonorrhea 淋病
Condyloma acuminatum 锋利湿疣
AIDS
Mainly affected urinary genital
Lesions show purulent 化脓性inflammation followed by granulation tissue formation and fibrosis.
In the male, the organism infects chiefly the urethra, producing acute urethritis.
The prostate, seminal vesicles and epididymides are commonly involved.
In the female, the cervix is the main site of infection, the urethra, Bartholin’s and Skene’s glands and the uterine tubes are commonly involved.
About 1%~3%of cases, the organisms enter into the bloodstream 淋病性败血症may cause gonococcal endocarditis, arthritis—dermatitis syndrome, meningitis.
In fatal cases, diffuse intravascular coagulation(DIC) with the Waterhouse—Friderichsen syndrome may occur.
feature
Systemic symptoms are usually absent.
In men, the common presentation is with dysuria 尿痛 and purulent urethral discharge.
In women, cervicitis may produce a vaginal discharge.
4. Complications
Sterility man result.
In the male—prostate abscess,
urethral stricture→hydrops of kidney.
In the female—an increased rick of ectopic pregnan-
cyentry of gonococci into the pelvic
peritoneum via the uterine tubes may
cause
Gram stain of urethral discharge from a patient with gonorrhea淋病. Many Gram-negative diplococci (Neisseria gonorrhoeae) are present within a neutrophil.
Condyloma acuminatum 锋利湿疣
It is a sexually transmitted, papillotumor—like lesion, caused by human papillomavirus (HPV).
HPV (6, 11type), the virus multiply in the epithelium, specifically in the mature squamous cells, causing cytologic change—koilocytosis. 凹空细胞
Routes of infection —resembling those of Gonorrhea.
Location of the lesion —on any moist, mucosa—cutaneou suctional region of the external genesis.