Microbiological Study of Genital Ulcers at Tertiary Care Hospital

In all societies sexually transmitted infections rank among the most common of all infection diseases. Whereas the comparable figure in Europe and North America is at most 5%. The infection with HIV remains a leading cause of death in persons 25 to 44 years of age in the United State, as in developing countries, despite the advent of potent anti- retro viral therapy. The study is done to determine the etiology of genital ulcers, to assess the correlation between the clinical and laboratory diagnosis and to assess the prevalence of human immune deficiency virus infection in ulcer patients. A total of 125 patients with genital ulcers attending the sexually transmitted diseases clinic in Rajiv Gandhi Institute of Medical Sciences (RIMS) Adilabad and private STD Clinics at Adilabad were included in our study during the period Dec 2013 - Jan 2015. Of the 125 patients 102 (81.6%) were males and 23 (18.4%) were females. The maximum incidence of genital ulcers was found in the age group 20 to 29 Years. Genital ulcers disease is more common among patient with low literacy status. Of the 125 patients with genital ulcer diseases (29) were positive for syphilis 20 for herpes simplex, Candidalbalanoposthitis were seen in 20 patients (among these 20 cases 12 were with diabetes mellitus 2 cases of LGV). Mixed infections with herpes simplex and syphilis in 9 cases, 2 cases with herpes simplex and candidalbalanoposthitis, 7 cases with syphilis & HIV 9 cases with HSV & HIV, 2 cases with CBP & HIV. No cases of chanchroid in our study. LGV were seen only in 2 patients.