Purpose of reviewReview current literature relevant to syphilitic uveitis utilizing Medline search and online governmental resources relevant to the diagnosis and management of syphilis presenting with ocular manifestations. Recent findingsThere is a trend for increasing frequency of primary and secondary syphilis in developed countries, especially in young men. Ocular manifestations of syphilis are rare, occurring in less than one in 1 million persons in the United Kingdom. Distinctive patterns of syphilitic uveitis include white, focal preretinal opacities, and acute posterior placoid uveitis. Enhanced imaging can facilitate clinical diagnosis. Definitive diagnosis remains serologic. The Centers for Disease Control currently recommends reverse sequence testing with initial treponemal antibodies, followed by a quantitative nontreponemal test, which, if negative, triggers a confirmatory treponemal pallidum agglutination test. Persons testing positive for syphilis should also be tested for HIV. Recommendations of the Centers for Disease Control for treatment are unchanged: all ocular syphilis should be treated according to neurosyphilis regimens and should receive cerebrospinal fluid testing. SummaryIncreased case numbers of syphilitic uveitis have stimulated interest in this old disease. This locally destructive ocular inflammation with the potential for severe systemic complications is curable with treatment and should have the highest priority for prompt recognition and tre...
This article gives an overview of incidence, risk factors, clinical manifestations, assessment, screening, treatment, and prevention of syphilis.
The October session of the Office of Human Subjects Research Protections (OHSRP) Education Series will be held on Thursday, October 7, 2021, from 3-4 PM via live NIH videocast (https://videocast.nih.gov/ ) for NIH staff only. This presentation is titled “ Reframing Lessons from the Syphilis Study Done at Tuskegee (1932-1972) to Address the COVID-19 Pandemic: From Vaccine Hesitancy to Vaccine Confidence. Our guest speaker for this session is Dr. Stephen B. Thomas, Professor of Health Policy&Management at the University of Maryland School of Public Health, and he is also the Director of Maryland Center for Health ...
Conclusions During March–April 2020, national case reporting for STDs dramatically decreased compared with 2019. However, resurgence in reported gonorrhea and syphilis cases later in the year suggests STD reporting may have increased in 2020, underscoring the importance of continued STD prevention and care activities.
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Conclusions Younger participants had the highest STI incidence. Use of saliva as lubricant may be a driver of rectal infection, which deserves further study.
Conclusions Sexualized drug use was the greatest risk factor for having recurrent STIs. Tailoring prevention and care, including specialized services tackling problematic drug use in a sexual context, may help to curb the STI epidemic among MSM.
Adamopoulou Sexually transmitted diseases (STDs) affect mainly young individuals and cause health, social, and economic problems worldwide. The present study used a web questionnaire to assess the awareness, knowledge, sexual behaviors, and common practices regarding STDs in young Greek adults. The 1,833 individuals, aged 18–30 years, who responded to the study seem to be particularly knowledgeable regarding STDs such as AIDS (97.7%), warts (97%), Chlamydia (92.2%), genital herpes (89.9%), syphilis (81.9%), and gonorrhea (72.1%), whereas lower percentages were noted for trichomoniasis (39.3%), Molluscum contag...
This article is a comprehensive overview of maternal infections occurring during pregnancy which may be transmitted vertically to the fetus by the transplacental route. It includes cytomegalovirus, toxoplasmosis, rubella, parvovirus, zika, syphilis, varicella and also gives mention to what is currently known with regard to covid 19. The pathogenesis and transmission of each infection will be discussed and the risk to fetus and any gestational effects. Typical scan findings occurring secondary fetal infection, other investigations and whether preventative therapy or treatment is available will also be covered.
Discussion: Following evaluation, it was considered that sexual abuse was unlikely. However, if examination and psychosocial evaluation do not support it, other ways of transmission must be considered. Overcrowded and poor household conditions boost the risks for nonsexual treponema transmission. An infected member of the family or a caretaker are a particular risk to an infant due to common practices such as using saliva to moisten the rubber nipples of the milk bottles or trying the food temperature using the lips before feeding the infants.
CONCLUSIONS: Physical distancing and movement restrictions appear to have resulted in a reduction in the incidence of STIs, although these measures did not completely eliminate sexual risk behaviors.PMID:34538874 | PMC:PMC8436423 | DOI:10.1016/j.ad.2021.08.003