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The Most Interesting Medical Cases of Sexually Transmitted Diseases

Healthcare professionals regularly share new and fascinating cases to . Here are five of the most interesting medical cases of sexually transmitted diseases causing buzz in the community.

#5.

In this case, we see medical imaging of gonococcal arthritis and large joint effusion (arrow). According to the case, 鈥淕onococcal arthritis occurs from the hematogenous spread of neisseria gonorrhea. Compared to nongonococcal causes of septic arthritis, gonococcal arthritis is more likely to be polyarticular and have a negative culture.鈥 

#4.

In this fourth most interesting case of a sexually transmitted disease, a pathology resident shared this case of 鈥渁 33-year-old female presenting with numerous, small, fungating lesions on both labia majora which were cauterized at their respective bases and submitted for biopsy … microscopic examination of H&E sections show hyperplastic papillary squamous epithelium with parakeratosis, variable koilocytotic atypia (nuclear wrinkling with perinuclear clearing).鈥 

The patient was diagnosed with condyloma acuminata, which, according to the resident, 鈥渋s strongly associated with human papilloma virus (HPV) … in general, this is considered the most common sexually transmitted disease.鈥 

#3.

This case of a sexually transmitted disease demonstrates how HIV can impact other conditions, like this case of psoriasis. A rheumatologist shared this case: 鈥淎 37-year-old patient with joint pain in the left knee and ankle, right wrist and distal interphalangeal joints of the fingers, also presenting painful swelling of toes of the left foot. 

鈥淥n examination, there is psoriasis on the scalp, severe scaling on the knees and hands. He also has acute anterior uveitis. Patient reports that he has always had psoriasis but that the joint involvement is recent and has been rapidly progressive. Severe disseminated psoriasis with rapidly progressive arthritis suspect HIV infection, which is confirmed by laboratory tests.鈥 

#2.

This patient presented after six months 鈥渙f painful lesions on tongue and palate. More recently complaining of significant dysphonia. Systemically well. Nil PMHx.鈥 

Additional details from the otolaryngology resident who shared the case, included: 

  • 鈥淥ral examination as above, small cervical LN palpable bilaterally. Underwent flexible naso-endoscopy revealing bilateral irregular looking cords.鈥 
  • 鈥淎I screen negative, awaiting HIV & Syphilis screen -Micro: awaiting swab for MC&S鈥 
  • 鈥淗ad biopsy in Spain, report not available but patient told was no evidence of malignancy鈥 

 

#1.

In this case shared by an internal medicine resident, a 鈥29-year-old male patient comes to the consultation for presenting maculopapular-type lesions, umbilicate, painful only on palpation with mild pruritus in the penile area (body, base and pubis). On physical examination, inguinal lymph nodes with pain are palpated. The patient reports having sex with an occasional sexual partner about 15 days ago with protection (condom).鈥 The resident also shared that the patient did not have a fever or lesions elsewhere on the body.  

Several community members commented that they鈥檇 seen similar cases of mpox (formerly monkeypox).  

In a follow up, the resident shared that the patient tested negative for syphilis and herpes, and that the final diagnosis was mpox. The patient was quarantined 鈥渁nd epidemiological encirclement was performed.鈥澛

Published April 22, 2024


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