Ulcération génitale

Verraes-Derancourt, S.; Derancourt, C.; Janier, M.; Dupin, Nicolas; Alcaraz, I.

doi:10.1016/s0151-9638(06)71027-4

Cited by 6 publications

(1 citation statement)

References 2 publications

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“…This diagnosis is only obvious when there are vesicles, it is important not to ignore a primary HIV infection, a rarer cause of genital ulceration that is accompanied by fever, polyadenopathies, and a skin rash. As in our case, the absence of vesicles makes it difficult to diagnose herpes, syphilitic or primary HIV infection on clinical examination alone, as superinfection is frequent and the positive predictive value of clinical elements (pain, induration…) is low [5].…”

Section: Discussionmentioning

confidence: 58%

Chronic Anogenital Ulcerations and Polymicrobial Pelvic Infections: About a Case

Mendoua¹,

Nkoro²,

Nguizaye³

et al. 2023

OJOG

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Genital ulceration is the loss of integrity of the mucous membranes (or genital skin) leaving the dermis uncovered and almost always accompanied by satellite lymphadenopathies. Beyond a month of evolution, it is said to be chronic. Sexually transmitted diseases are infections due to microbial agents among which parasites, bacteria, viruses and fungi that can be associated with each other to varying degrees. Sexually transmitted infections must be mentioned before any genital ulceration. Hence the interest of the case that we report of chronic anogenital ulcerations complicating a polymicrobial pelvic infection in a patient immunocompromised to HIV. The physical examination reveals a hypogastric sensitivity to deep palpation, the presence of a superinfected anogenital ulceration exposing the deep dermis covered with purulent serosities interesting the labia minora, the posterior vaginal fork, the anal region, the clitoris and an extension of the lesions to the gluteal fold is observed. We found a satellite lymphadenopathy in the right inguinal fold. The screening finds the HIV1 positive serology with a viral load of 28,000 copies, the herpes simplex 1&2 and Chlamydia trachomatis serologies were all positive. The genital samples are marked by the presence of bacterial vaginosis with Candida Albicans and Gardnerella Vaginalis, the presence of urogenital mycoplasmas of the Ureaplasma Urealyticum The pelvic ultrasound was in favor of a bilateral adnexitis. A protocol was put in place: the first step consisted of seat baths, antifungi and antibiotics administration: fluconazole 150 mg and tinidazole 2 g in single doses, then josamycin 1 g/24h in two doses per os for two weeks.

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Section: Discussionmentioning

confidence: 58%