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2016| January-June | Volume 37 | Issue 1
Online since
April 14, 2016
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REVIEW ARTICLE
Genital contact allergy: A diagnosis missed
Yogesh S Marfatia, Dimpal Patel, Devi S Menon, Smriti Naswa
January-June 2016, 37(1):1-6
DOI
:10.4103/0253-7184.180286
PMID
:27190404
Genital allergy should be considered as a possible diagnosis in all patients with genital soreness or irritation for which no infection or dermatosis can be identified and in whom symptoms remain unchanged or worsen with treatment. It is an underreported and underdiagnosed condition as patients may not complain about symptoms in this area. Moreover, diagnosis and therapy may not often be conducted by a dermatologist or allergologist. Therefore, many cases of allergic diseases in the genital area remain undetected.
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210
4
RESIDENTS PAGE
Viva questions for postgraduate
Balaji Govindan, Yogesh Marfatia
January-June 2016, 37(1):97-100
DOI
:10.4103/0253-7184.180283
PMID
:27190428
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5,680
388
1
ORIGINAL ARTICLES
Randomized questionnaire based cross-sectional research study on awareness of sexually transmitted diseases amongst the general population between those who completed their high school education and those who have not
C. R. V. Narasimhalu, Jegadeesan Muhilan
January-June 2016, 37(1):17-20
DOI
:10.4103/0253-7184.176222
PMID
:27190407
Introduction:
Sexually transmitted diseases (STDs) are a very important health challenge for adolescents. Educational level, especially sex education in school, prevents the adolescents falling prey to these diseases.
Objective:
To compare the awareness of STDs among general population with below and above high school qualification.
Materials and Methods:
A simple randomized, cross-sectional, questionnaire based study on the awareness of STDs on out-patients and in-patients of Saveetha Medical College and Hospital of 6 months duration was conducted. About 150 subjects participated in the study.
Results:
About 77.8% of those who completed schooling had good awareness of STDs. Statistical analysis had shown the formal education to high school level is statistically significant
P
= 0.0068 (
P
< 0.05) in people falling prey to the STDs.
Conclusion:
The initiation of formal education about sex education at the school level can improve the present status and lead to better prevention of STDs.
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5,107
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1
Efficacy of syndromic management measured as symptomatic improvement in females with vaginal discharge syndrome
Vidyalaxmi Chauhan, Maitri C Shah, Sangita V Patel, Yogesh S Marfatia, Dhara Zalavadiya
January-June 2016, 37(1):28-32
DOI
:10.4103/0253-7184.176215
PMID
:27190409
Background:
In spite of a few shortcomings such as over diagnosis and over treatment, syndromic management is a recommended practice in India for sexually transmitted infections (STIs). This study tries to find out the efficacy of syndromic management measured as symptomatic improvement in females with vaginal discharge syndrome.
Objective:
The objective of the study is to find out the effectiveness of syndromic management in terms of symptomatic improvement among females with vaginal discharge syndrome.
Materials and Methods:
A longitudinal study was conducted in Gynecology Department of Tertiary Care Hospital including 180 symptomatic females having vaginal discharge syndrome. Demographic profile, presenting complaints, menstrual history, obstetric history, partner history, and contraceptive history were noted. This was followed by clinical examination and specimen collection for laboratory tests and blood tests to find out type of STI including viral STI such as human immunodeficiency virus (HIV), herpes simplex virus (HSV), and hepatitis B surface antigen (HBsAg). Treatment was given according to syndromic management on the same day. All the participants were asked to come for follow-up after 15 days and their improvement in symptoms was noted as complete improvement, some improvement or no improvement on a five point scale.
Results:
63.9% cases showed complete improvement, while 36.1% showed some improvement. None of the patients was without any improvement. Vaginal discharge syndrome was most common between 20 and 30 years (43.4%), and 67.8% of symptomatic females with vaginal discharge syndrome belonged to the lower socioeconomic group. HSV infection was the most common (15%) associated viral infection with vaginal discharge syndrome, while hepatitis B infection was the least common (0.5%). HIV was reactive in 2.8% cases only.
Conclusion:
Syndromic management was found to be effective in relieving symptoms in most of the cases of vaginal discharge syndrome.
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2
CASE REPORTS
Crusted Scabies: Presenting as erythroderma in a human immunodeficiency virus-seropositive patient
Shruti Kulkarni, Hiral Shah, Bharti Patel, Neela Bhuptani
January-June 2016, 37(1):72-74
DOI
:10.4103/0253-7184.180285
PMID
:27190417
Crusted scabies is a rare manifestation of scabies characterized by uncontrolled proliferation of mites in the skin. It is common in patients with sensory neuropathy, mentally retarded persons and in patients who are immunosuppressed. Further, crusted scabies can rarely present as erythroderma (<0.5% cases) necessitating a high index of suspicion for its diagnosis. Because of its rare occurrence, we are reporting a case of crusted scabies presenting as erythroderma, in a human immunodeficiency virus seropositive patient.
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1
ORIGINAL ARTICLES
High-risk sexual behavior among people living with HIV/AIDS attending tertiary care hospitals in district of Northern India
Mukesh Shukla, Monica Agarwal, Jai Vir Singh, Anil Kumar Tripathi, Anand Kumar Srivastava, Vijay Kumar Singh
January-June 2016, 37(1):46-51
DOI
:10.4103/0253-7184.176212
PMID
:27190412
Context:
Prevention with a positive approach has been advocated as one of the main strategies to diminish the new instances of HIV and the target are those who are engaged in high-risk sexual behavior. Therefore, understanding the risky behaviors of the HIV-infected individual is important.
Aims:
This study aimed to assess the prevalence and the predictors of high-risk sexual behavior among people living with HIV/AIDS (PLHA).
Settings and Design:
A hospital-based cross-sectional study was conducted at antiretroviral therapy centers of two tertiary care hospitals in Lucknow.
Materials and Methods:
A total of 322 HIV-positive patients were interviewed about their sexual behaviors during last 3 months using a pretested questionnaire.
Statistical Analysis Used:
Probability (
p
) was calculated to test for statistical significance at 5% level of significance. Association between risk factors and high-risk sexual behavior was determined using bivariate analysis followed by multivariate logistic regression.
Results:
Prevalence of high-risk sexual behavior was 24.5%. Of these patients, multiple sexual partners were reported by 67.3% whereas about 46.9% were engaged in unprotected sex. Multivariate logistic regression analysis revealed that high-risk sexual behavior was significantly associated with nonsupporting attitude of spouse (odds ratio [OR]: 18; 95% confidence interval [CI]: 1.4–225.5;
P
= 0.02) and alcohol consumption (OR: 9.3; 95% CI: 2.4–35.4;
P
= 0.001).
Conclusions:
Specific intervention addressing alcohol consumption and encouragement of spouse and family support should be integrated in the routine HIV/AIDS care and treatment apart from HIV transmission and prevention knowledge.
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4
CASE REPORTS
Fox–Fordyce disease of the vulva
Lakshmipriya Gurusamy, Muhilan Jegadeesan, Salai Jayakumar
January-June 2016, 37(1):65-67
DOI
:10.4103/0253-7184.180293
PMID
:27190415
Fox–Fordyce disease is a rare, chronic skin disorder which affects the apocrine areas. This disease is due to the obstruction of the apocrine sweat duct. Extragenital regions are commonly affected than the genital region. We, herein, report a case of Fox–Fordyce in a female, with onset in the fifth decade and involving only the genital region.
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LETTERS TO EDITOR
Co-infection of hepatitis B virus and hepatitis C virus with human immunodeficiency virus infection: A cross-sectional study
Satyendra Kumar Singh, Swati Singh, Gopal Nath, Manoj Kumar Srivastava
January-June 2016, 37(1):95-96
DOI
:10.4103/0253-7184.180288
PMID
:27190427
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ORIGINAL ARTICLES
Clinical manifestations and outcome of patients with human immunodeficiency virus infection at tertiary care teaching hospital
Virendra Chandrashekhar Patil, Harsha V Patil
January-June 2016, 37(1):38-45
DOI
:10.4103/0253-7184.176213
PMID
:27190411
Background:
AIDS has become chronic illness which is well treated with antiretroviral therapy and management of opportunistic infections (OIs).
Aims and Objectives:
The study clinical profile and outcome of human immunodeficiency virus (HIV) seropositive patients.
Materials and Methods:
This was retrospective observational study carried out over a period of 1 year (January 2011–December 2011). All HIV patients admitted in medicine ward, and ICU were enrolled. Statistical analysis was performed using SSPE statistical software trial version 11. The
P
< 0.05 was considered as statistically significant.
Results:
Of total 111 patients with a diagnosis of HIV/AIDS, 75 (67.56%) were male and 36 (32.43%) were female patients. A total 52 (46.84%) patients presented with respiratory manifestations, of them 23 (44.23%) had pulmonary tuberculosis (TB), 6 (11.53%) had tubercular effusion, and 3 (5.76%) had
Pneumocystis jirovecii
pneumonia. Respiratory manifestations including pulmonary TB were the most common presentation (
P
< 0.001). Total 27 (24.32%) patients were presented with the neurological manifestation of them 8 (29.62%) had a cerebro-vascular accident, 5 (18.51%) had cryptococcal meningitis, 4 (14.81%) had tubercular meningitis, and 1 (3.70%) had progressive multifocal leukoencephalopathy. Total 12 (38.70%) had acute gastroenteritis 6 (19.35%) had oral candidiasis, 8 (25%) had general tonic clonic seizure and 7 (21.87%) had pyrexia of unknown origin, 6 (18.75%) had septicemia, 6 (18.75%) had acute renal failure, and 6 (94.11%) had anemia. A total 11 (9.90%) patients succumbed.
Conclusions:
Overall respiratory manifestations were the common presentation in a present cohort of HIV seropositive patients and TB was the most common OI and the cerebrovascular accident was the most common neurological manifestation.
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LETTERS TO EDITOR
Seroprevalence of hepatitis B and syphilis co-infection in human immunodeficiency virus-positive antiretroviral therapy attendees and human immunodeficiency virus-negative sexually transmitted infection attendees
Arti Agrawal, Ankur Goyal, Sapna Goyal, Sunita Kumari, PK Singh
January-June 2016, 37(1):94-95
DOI
:10.4103/0253-7184.180291
PMID
:27190426
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ORIGINAL ARTICLES
Predictors of unsafe sexual behavior among people living with human immunodeficiency virus/AIDS attending antiretroviral therapy center in Western India
Kedar G Mehta, Rajendra Baxi, Parag Chavda, Sangita Patel, Vihang Mazumdar
January-June 2016, 37(1):21-27
DOI
:10.4103/0253-7184.176220
PMID
:27190408
Background:
As more and more people with human immunodeficiency virus (HIV) live longer and healthier lives because of antiretroviral therapy (ART), an increasing number of sexual transmissions of HIV may arise from these people living with HIV/AIDS (PLWHA). Hence, this study is conducted to assess the predictors of unsafe sexual behavior among PLWHA on ART in Western India.
Materials and Methods:
The current cross-sectional study was carried out among 175 PLWHAs attending ART center of a Tertiary Care Hospital in Western India. Unsafe sex was defined as inconsistent and/or incorrect condom use. A total of 39 variables from four domains viz., sociodemographic, relationship-related, medical and psycho-social factors were studied for their relationship to unsafe sexual behavior. The variables found to be significantly associated with unsafe sex practices in bivariate analysis were explored by multivariate analysis using multiple logistic regression in SPSS 17.0 version.
Results:
Fifty-eight percentage of PLWHAs were practicing unsafe sex. 15 out of total 39 variables showed significant association in bivariate analysis. Finally, 11 of them showed significant association in multivariate analysis. Young age group, illiteracy, lack of counseling, misbeliefs about condom use, nondisclosure to spouse and lack of partner communication were the major factors found to be independently associated with unsafe sex in multivariate analysis.
Conclusion:
Appropriate interventions like need-based counseling are required to address risk factors associated with unsafe sex.
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3,646
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1
Treatment seeking behaviour of STI clients in a tertiary care centre of North India: A cross sectional study
Swastika Suvirya, Rohit Singh, Prasad Senthamizh, Vishal Sharma
January-June 2016, 37(1):7-11
DOI
:10.4103/0253-7184.180284
PMID
:27190405
Objective:
(1) To determine the treatment seeking behaviour of STI clients. (2) To ascertain the relationship of socio-demographic factors and sexual behaviours with the treatment seeking component in STI clients.
Methods:
This cross-sectional study was conducted in Department of Dermatology, Faculty of Medical Sciences, King George's Medical University, Lucknow, Uttar Pradesh. After obtaining approval from the Institutional Ethical Committee, the data collected daily from master register, STI/RTI patient wise register and counsellor's patient diary during the study period August 2013 to July 2015 was processed by Microsoft Excel program. The counsellor also recorded the source of information regarding STI Clinic. The information collected regarding bio-social characteristics, high risk sexual behaviours and source of knowledge about Suraksha clinic was analysed.
Results:
Our results showed that literacy, male sex, urban residence and employment were some of the parameters which significantly improved the health seeking behaviour of STI clients. These variables were associated with higher odds for seeking treatment when adjusted for other variables. Similarly group with bisexual and homosexual behaviour had significantly lower odds for seeking treatment when adjusted for other variables.
Conclusion/Key Message:
The optimal use of information, education and communication (IEC) techniques needs to be strengthened to further improve the utilization of STI clinic services at tertiary care teaching hospitals.
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2
CASE REPORTS
Cardiovascular syphilis complicated by Lower thoracic and upper abdominal aneurysm – A rare case report
K Gayathri, S Vijay Shankar, S Venkatesan, S Kalaivani
January-June 2016, 37(1):75-77
DOI
:10.4103/0253-7184.180295
PMID
:27190418
A 50-year-old male presented with left lower abdominal pain, visible pulsation below xiphoid process, and tenderness in the left iliac fossa for the past 10 days. Chest X-ray revealed blunting of left cardiophrenic angle. Echocardiogram revealed descending thoracic aortic pseudoaneurysm. Contrast-enhanced computed tomography of the chest and abdomen revealed dissecting aneurysm of lower thoracic and upper abdominal aorta. Thoracoabdominal aortogram revealed erosion of D12 vertebra and infected aneurysm of adjacent thoracoabdominal aorta. Serum venereal disease research laboratory assay was positive in 1:4 dilution
Treponema pallidum
hemagglutination assay was positive. The patient was treated with Injection procaine penicillin for 20 days undercover of steroids. Cerebrospinal fluid analysis was normal. Aortic aneurysm repair with reconstruction was done. Histopathology was in favor of syphilitic etiology. This case is being presented as descending thoracic and upper abdominal aortic aneurysm due to syphilis complicated by dissection and erosion of vertebral body is rare and has not been reported nowadays to the best of our knowledge.
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3,535
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1
ORIGINAL ARTICLES
Time trends of seroepidemiology of hepatitis C virus and hepatitis B virus coinfection in human immunodeficiency virus-infected patients in a Super Specialty Hospital in New Delhi, India: 2012–2014
Abha Sharma, Jasmin Halim, Tavleen Jaggi, Bibhabati Mishra, Archana Thakur, Vinita Dogra, Poonam Sood Loomba
January-June 2016, 37(1):33-37
DOI
:10.4103/0253-7184.176214
PMID
:27190410
Background:
Hepatitis viruses and human immunodeficiency virus (HIV) coinfection is a major cause of liver diseases worldwide. High prevalence of hepatitis B virus (HBV) and hepatitis C virus (HCV) in Asia makes it important to understand HBV and HCV coinfection with HIV in this part of the globe. This study was done with the aim of assessing the time trends of seroepidemiology of HBV and HCV coinfection in HIV patients over the last 3 years.
Materials and Methods:
Year wise retrospective analysis of data between January 2012 and December 2014 was done.
Results:
The prevalence of HIV infection among 0–20 years and >60 years age group decreased over the last 3 years (2012–2014), 8.4%, 6.4%, and 3.1% and 3.6%, 3.8%, and 1.5%, respectively. While increasing prevalence was seen among 21–40 years age group, 57.8%, 60.2%, and 67.1%, respectively in 2012, 2013, and 2014. There was no significant relationship between age/gender and HBV/HCV seropositivity among HIV-positive patients. The risk of acquiring HBV infection was more in HIV-positive patients who were >60 years of age (odds ratio = 3.3182; 95% confidence interval: 0.3669–30.005). The prevalence of HCV seropositivity is less in HIV-positive patients as only one case was anti-HCV antibody positive in last 3 years who was a male patient in the age group 21–40 years. A declining trend was observed for HIV positive cases over 2012–2014 while no significant trend change is seen in HBV/HCV seropositivity among HIV patients from 2012 to 2104.
Conclusion:
It is recommended to screen HIV patients routinely for concurrent HBV/HCV infection as hepatotropic viruses with HIV increase the risk of liver mortalities.
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3,479
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1
Diagnostic accuracy of self-reported symptomatic assessment versus per speculum/per vaginal examination for the diagnosis of vaginal/cervical discharge and lower abdominal pain syndromes among female sex workers
Jayendrakumar K Kosambiya, HG Baria, Rohit Parmar, Rahul Mhaskar, Patricia Emmanuel, Ambuj Kumar
January-June 2016, 37(1):12-16
DOI
:10.4103/0253-7184.180294
PMID
:27190406
Background:
National AIDS Control Organization guidelines on enhanced syndromic case management of sexually transmitted infections (STIs) and reproductive tract infections (RTIs) require per speculum (P/S) and per vaginal (P/V) examinations for diagnosis of STIs. However, it is not known if the addition of P/S and P/V examinations to self-reported symptomatic assessment adds any value for the diagnosis of STI/RTI.
Objective:
To assess the diagnostic accuracy of P/S and P/V examinations compared with self-reported symptomatic assessment in a cohort of female sex workers (FSWs).
Methods:
We performed a cross-sectional study from August 2009 to June 2010, among 519 FSWs in Surat city, Gujarat, India. Symptomatic assessment for the presence or absence of vaginal/cervical discharge (VCD) or lower abdominal pain (LAP) was done using a self-administered questionnaire. After completion of the questionnaire, all participants underwent P/S and P/V examinations. Summary diagnostic accuracy measures were calculated.
Results:
Five hundred and nineteen FSWs between the ages of 18–49 years participated in the study. The median age of participants was 31 years. The prevalence of VCD and LAP syndromes based on vaginal discharge, LAP, or both was 56%, 5,–10%, respectively. The sensitivity of P/S and P/V examinations depending on symptomatic assessment ranged from 47% to 76%. The specificity ranged from 73% to 93%. The positive predictive value ranged from 25% to 83%, and the negative predictive value ranged from 56% to 98%.
Conclusion:
Symptomatic assessment alone is not adequate for the diagnosis of VCD and LAP syndromes and can lead to a significant number of missed cases (36%). A P/S and P/V examinations is critical for assessment of VCD and LAP syndromes and subsequent treatment.
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Performance of the prevention of parent to child transmission program: A decadal trend from rural Maharashtra, India
RV Mohite, VR Mohite
January-June 2016, 37(1):52-57
DOI
:10.4103/0253-7184.176217
PMID
:27190413
Background:
Human immunodeficiency virus (HIV) infection is widely spread across the state of Maharashtra with high prevalence among antenatal women.
Aims:
To assess the effectiveness of prevention of parent to child transmission (PPTCT) services in rural Tertiary Health Care Centre of Western Maharashtra, India and to address the weaknesses in functioning of PPTCT services.
Materials and Methods:
A cross-sectional study was conducted at Integrated Counselling and Testing Centre (ICTC) of a rural tertiary health center located in rural area of Western Maharashtra over a period of 10 years from 2003 to 2012. A total of 32,575 pregnant women were included as study subjects and data were collected as per the indicators of PPTCT by viewing the retrospective PPTCT records. The data were analyzed over the period of 10 years for the outcome of PPTCT services. The trend of PPTCT indicators over a decade were analyzed by using Chi-square test.
Results:
The seroprevalence of HIV infection among pregnant women was 2% in 2003 which decreased to 0.2% by 2012. The proportions of women counseled and HIV tested were 88.9% and 100%, respectively in 2003 and pretest counseling trend was steadily increased to 100% by 2012; however; HIV testing trend remained 100% throughout 10 years. Posttest counseling trend ranges from 89.6% to 99.9% whereas trend of HIV testing among partners has been fluctuating from 25% to 100%. The proportional trend of HIV-positive mothers delivered in a tertiary care hospital ranges from 60% to 100%. The proportions of pair receiving prophylaxis Nevirapine has been increased from 83.8% to 100% by 2009, but thereafter decreased to 83.3% by 2012. The overall HIV positivity among babies after 18 months of follow-up was 21%.
Conclusion:
HIV seroprevalence among the pregnant population is steadily declining. More and more women are availing the facilities of ICTC centers. Intensive health education and availability of diagnostic and therapeutic services in rural health center have reduced the burden of HIV/AIDS problem in the rural community.
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3
CASE REPORTS
Erythema elevatum diutinum in acquired immune deficiency syndrome: Can it be an immune reconstitution inflammatory syndrome?
Sheethal K Jose, Yogesh S Marfatia
January-June 2016, 37(1):81-84
DOI
:10.4103/0253-7184.180287
PMID
:27190420
A 47-year-old male with acquired immune deficiency syndrome (AIDS) presented with multiple hyperpigmented papules and nodules on both ankles, dorsum of bilateral feet and soles. It was associated with mild itching and pain. The patient was diagnosed with human immunodeficiency virus (HIV) in 2007. First-line antiretroviral therapy (ART) was started in 2009 to which he responded initially. He was shifted to second-line ART 11 months ago in March 2015 due to treatment failure as suggested by CD4 count of 50 cells/mm
3
. The present skin lesions started 2 months after the initiation of second-line ART. Differential diagnoses considered were Kaposi's sarcoma and immune reconstitution inflammatory syndrome (IRIS) related infections, but biopsy was suggestive of erythema elevatum diutinum (EED). Patient was started on oral dapsone 100 mg/day and increased to 200 mg/day to which he is responding gradually. In the present case, appearance of the lesions after initiation of second-line ART coupled with increase in CD4 count and decrease of viral load below undetectable level suggest that EED could be an IRIS.
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Sildenafil: A rare cause of erythema multiforme
Nidhi Raghunandan Sharma, Sudhanshu Sharma, Javid Ahmad, Nitin Nadkarni, Shweta Rana, Shivani Kalhan
January-June 2016, 37(1):85-87
DOI
:10.4103/0253-7184.180292
PMID
:27190421
Erythema multiforme (EM) is an acute self-limiting mucocutaneous condition of uncertain etiopathogenesis. The most common precipitating factors are herpes simplex virus infection, mycoplasma infection, drugs, and vaccination. We report a case of EM following sildenafil used for loss of libido. EM induced by sildenafil has not been reported so far.
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ABSTRACTS FROM CURRENT GLOBAL LITERATURE
Treatment of genital wart
Pinki A Narsinghani, Dimpal Patel, Yogesh Marfatia
January-June 2016, 37(1):101-104
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ORIGINAL ARTICLES
Is it time to bring the “Parent” into the prevention of parent to child transmission programs in India? A study of trends over a 10-year period in a prevention of parent to child transmission clinic in India
Swati Shiradkar, Shubhangi Mande, Gauri Bapat, Maninder Singh Setia
January-June 2016, 37(1):58-64
DOI
:10.4103/0253-7184.176211
PMID
:27190414
Objectives:
The present study evaluated the changes in serology and human immunodeficiency virus (HIV) testing behaviors over a 10-year period in a center in India.
Methods:
We used clinical data collected at the antenatal clinic from 2002 to 2011. The key outcomes were: (1) Proportion of women who opted for HIV test and those who tested positive; (2) proportion of male partners who came in for HIV test and those who tested positive; and (3) proportion of women who opted for continuation of pregnancy or for medical termination of pregnancy.
Results:
We tested 11,452 women for HIV over the 10-year period from 2002 to 2011. The proportion of women who opted for HIV testing was 72.0% (95% confidence interval [CI]: 70.7–73.4%). The acceptance of test increased from 35.9% (95% CI: 31.7–40.4%) in 2002 to the peak of 82.6% (95% CI: 78.6–86.8%) in 2009 (
P
< 0.001). The overall HIV prevalence over the decade was 0.70% (95% CI: 0.55–0.87%). The prevalence high at 1.11% (95% CI: 0.23–3.24%) in 2002 and reduced to 0.37% (95% CI: 0.12–0.87%) in 2011 (
P
< 0.001). Only 0.57% of male partners tested for HIV over this time period.
Conclusion:
Strategies to improve acceptance of testing in pregnant women should be included in the Indian guidelines. The male partners do not get tested. Thus, this component needs to be strengthened - by targeted interventions for male spouses - to make the program more effective.
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3,065
67
1
LETTERS TO EDITOR
Syphilis incognito: Resurgence of the covert devil
Shaurya Rohatgi, Saurabh Jindal, Hitesh M Viradiya
January-June 2016, 37(1):90-91
DOI
:10.4103/0253-7184.176216
PMID
:27190424
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3,002
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2
CASE REPORTS
Gingival mass in acquired immune deficiency syndrome patient: An unusual manifestation
Jigna S Shah, Monali N Prajapati
January-June 2016, 37(1):78-80
DOI
:10.4103/0253-7184.176219
PMID
:27190419
Non-Hodgkin's lymphoma (NHL) is designated as an acquired immune deficiency syndrome defining condition. Although uncommon, it is essential to be wary of this neoplasm since intraoral manifestations may be the first clinical manifestation of HIV disease. The gingiva is one of the rarest intraoral sites with a prevalence of 0.6%. Careful evaluation of patients presenting with solitary atypical gingival mass can lead to early detection of HIV disease. Here, we report a case of NHL manifesting as a gingival mass in a 45-year-old HIV-positive female patient.
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3,059
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LETTERS TO EDITOR
A case of mistaken identity
Medha Babshet, R Sandeep, Krishna Burde, Kirty Nandimath, Atul Sattur
January-June 2016, 37(1):92-93
DOI
:10.4103/0253-7184.176218
PMID
:27190425
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2,717
57
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Failure to achieve reduction in the incidence of human immunodeficiency virus among men who have sex with men: A worrisome global concern
Saurabh R Shrivastava, Prateek S Shrivastava, Jegadeesh Ramasamy
January-June 2016, 37(1):88-89
DOI
:10.4103/0253-7184.176210
PMID
:27190422
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2,531
32
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Anti-human immunodeficiency virus serology status and pre- and post-test counseling: A note
Pathum Sookaromdee, Viroj Wiwanitkit
January-June 2016, 37(1):89-90
DOI
:10.4103/0253-7184.176221
PMID
:27190423
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2,453
40
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OBITUARY
Obituary
R Arunkumar
January-June 2016, 37(1):105-105
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1,692
33
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CASE REPORTS
Kurthia gibsonii
as a sexually transmitted zoonosis: From a neglected condition during World War II to a recent warning for sexually transmitted disease units
Valéria Kövesdi, Balázs Stercz, Joseph Ongrádi
January-June 2016, 37(1):68-71
DOI
:10.4103/0253-7184.180296
PMID
:27190416
Context:
Zoonotic sexual transmission.
Aims:
Identification of unknown microorganisms causing sexually transmitted zoonotic infection was a common effort of clinicians and the laboratory.
Settings and Design:
A male patient had recurring urethritis and balanitis after having repeated unprotected penetrative sexual intercourse with female piglets. He claimed allergy to metals and plastics. Routine microbiological tests were carried out.
Materials and Methods:
Specimens from the urethra, glans, rectum, throat, urine, and blood were cultured. Subsequently, isolates were tested for their biochemical activity and antibiotic susceptibility.
Results:
Kurthia gibsonii
was isolated from both urethra and glans. No other concomitant infection was detected. The patient was cured with oral cefuroxime for 15 days and topical gentamicin cream for 2 months.
Conclusion:
This is the first reported zoophilic infection by
Kurthia
spp. Fecal contamination of animals' genital tract was the possible source of infection. Immune disturbance of the patient might predispose to opportunistic
Kurthia
infection.
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