Multiple sexually acquired diseases occurring concurrently in an HIV positive man: case report, diagnosis and management.
View/ Open
Date
1992Author
Oduor, DO
Bwayo, JJ
Bhatt, SM
Kwasa, Thomas OO
Maitha, GM
Ombette, JO
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
A case of an HIV positive man with multiple sexually acquired disease occurring concurrently is described. Risk behaviours that could have predisposed him to HIV infection are discussed. The factors which might have interacted to make the sexually acquired infections severe and difficult to treat are postulated.
PIP:
The case of an HIV-seropositive man with gonorrhea, syphilis, genital warts, and chancroid is described. Multiple sexual partners, genital ulcer diseases, and lack of circumcision may have predisposed him to HIV infection. As indicated by his CD4/CD8 ratio of 0.5, his immunological status was not very compromised. Other factors were therefore probably behind these multiple sexually transmitted diseases (STD). This 30-year old man was inadequately treated for a long time for urethral discharge and genital ulcer disease, and ultimately collapsed on the job with a comprised central nervous system. Bacterial infection related to the multiple STDs could certainly have caused this collapse. The time demands of this man's work, the lack of medical facilities to diagnose and treat such conditions, his unprotected sexual behavior with multiple partners, and broader socioeconomic conditions which separate wage- earning males from their families in Africa conspire to produce multiply-afflicted cases such as these.
URI
http://www.ncbi.nlm.nih.gov/pubmed/1505424http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/17642
Citation
East Afr Med J. 1992 Jun;69(6):345-6Publisher
Department of Medical Microbiology, College of Health Sciences, University of Nairobi, Kenya
Collections
- Faculty of Health Sciences (FHS) [10377]