Upsurge In Syphilis Cases- An Alarm Study at Tertiary Care Centre
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
Background: Studies from different developed countries & south-east Asian countries revealed sudden increase in syphilis cases in the last decade especially in MSMs. Reports in India showed increase in latent syphilis cases. Aims and objectives: 1.To Know the prevalence of syphilis and its sub-types 2.To know its relationship to sexual practices and occurrence of syphilis Methodology: All patients attending DVL OP with H/O sexual contact interviewed and examined. Those cases with syphilis, their age, sex, domicile, duration, type of sexual behaviour ,treatment taken noted. Any h/o Miscarriages, still-births noted. Blood RPR &TPHA, HIV screening, HBsAg, HCV, CBP, LFT, DF, Gram stain were done. Results tabulated and analysed. Results: During the study [August 2016 to July 2018] 1,40,024 patients visited DVL OPD, 4082 had STI; of these, 30/114 had primary chancre, 32/114 had secondary syphilis ,62/114 had latent syphilis. Palmo-plantar rash & lymphadenopathy seen in most cases of secondary syphilis; 19 pregnant women had syphilis clinically or serologically & 18 were treated. 14 had associated HIV reactivity, 08 had lata lesions, 06 had persistent primary chancre into secondary syphilis stage, 32 had admitted MSM activity. None of the babies born to RPR reactive mothers had evidence of congenital syphilis Conclusion: Compared to a decade before, a greater number of syphilis cases are seen now. Latent syphilis cases commonly reported. Most of secondary syphilis cases had MSM activity and some of them associated with HIV disease.
Authors and Affiliations
Dr K Gouthamisree, Dr B Udaya kumar, Dr G Madhavi, Dr M Mallikharjuna, Dr IC Reddy
Keywords
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- EP ID EP557497
- DOI 10.9790/0853-1803130509.
- Views 35
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