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Sexually transmitted parasitic diseases.

G I Levine1

  • 1Department of Family Practice, University of Kentucky College of Medicine, Lexington.

Primary Care
|March 1, 1991
PubMed
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Parasitic sexually transmitted diseases, including trichomoniasis, pediculosis pubis, and scabies, are common. Enteric parasitic infections like amebiasis and giardiasis also affect men who have sex with men, often diagnosed via microscopy.

Area of Science:

  • Infectious Diseases
  • Parasitology
  • Public Health

Background:

  • Sexual activity is a primary transmission route for parasitic diseases.
  • Male homosexuals exhibit a significant prevalence of enteric parasitic infections.
  • Protozoan pathogens dominate parasitic STDs, but nematodes and arthropods are also implicated.

Purpose of the Study:

  • To review common parasitic sexually transmitted diseases (STDs) and enteric parasitic infections.
  • To discuss diagnostic methods and treatment options for these infections.
  • To highlight specific risks and prevalences within the male homosexual population.

Main Methods:

  • Microscopic evaluation of vaginal secretions for Trichomonas vaginalis.
  • Observation of lice (Pediculus pubis) or nits for pediculosis pubis.

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  • Microscopic examination of stool specimens or duodenal aspiration for amebiasis and giardiasis.

    • Main Results:

    • Trichomoniasis, caused by Trichomonas vaginalis, is the most common parasitic STD, treated with metronidazole.
    • Pediculosis pubis and scabies present with pruritus, diagnosed by visual inspection or microscopy, treated with lindane or pyrethrins.
    • Amebiasis (Entamoeba histolytica) and giardiasis (Giardia lamblia) are common enteric infections in male homosexuals, causing diarrhea, diagnosed by stool microscopy.

    Conclusions:

    • Effective treatments exist for common parasitic STDs and enteric infections.
    • Early diagnosis through microscopic examination is crucial.
    • Understanding transmission routes and risk factors aids in prevention and management.