Microkalanjiyam

 

 Bacterial,viral,fungal and parasite etiology

Posted By Admin    on 19-12-2021    Comments (10)

INFECTIONS OF THE GENITAL TRACT
1.Genital tract consists of external and internal genitalia in both the sexes
2.External genitalia –penis and labia
3.Internal genitalia –male –testes, epididymis,seminal vesicles ,and urethra,prostate
4.Female – ovaries,fallopian tubes,uterus,uterine cervix and vagina with its accessory glands
URETHRITIS AND CERVICITIS 
1.Most common STI is Chlamydia trachomatis 
2.Men – pain on urination and urethral discharge (urethritis)
3.Women – mucopurulent cervicitis ,acute urethritis – PID –inflammatory scarring of fallopian tubes – infertility and ectopic pregnancy 
GENITAL ULCER DISEASE
1.Herpes simplex is commonest 
2.Vesicular lesion with an erythematous base on glans penis,vulva ,perineum,buttocks or cervix
3.Vesicles are painful –ulcerate – systemic symptoms with bilateral inguinal lymphadenopathy
Herpes virus
Important properties
Virion : spherical, 150-200nm in diameter(icosahedral)
Genome : ds DNA, linear
Proteins : >35
Envelope : viral glycoproteins, Fc receptors
Replication : Nucleus
Outstanding Characteristics
Envelope many enzymes
Establish latent infections
Reactivated in immunosuppressed hosts
Cancer causing
Classification

Herpesviriniae
α-    HSV1, HSV2, VZV- Neurons
β-CMV, HH6, HH7 -glands, kidneyslymphoid tissue
γ - EBV , KSHV - lymphoid tissue
HSV
HSV1-saliva
HSV2-sexually -restriction enzyme analysis of viral DNA
Pathology 
Cytolytic infections 
Necrosis of infected cells with inflammatory response 
Ballooning of infected cells 
Cow dry type A intranuclear inclusion bodies
Margination of chromatin 
Formation of multinucleated giant cells 

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