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Updated: Feb 27, 2026

Sexual Transmission of American Trypanosomes from Males and Females to Naive Mates
Published on: January 27, 2019
[Sexually transmitted infections in emergency setting].
Dominique Schwab1, Frank Bally2, Florence Selz Amaudruz1
1Service des urgences, Hôpital du Valais, CHVR, Site de Sion, Avenue du Grand-Champsec 80, 1951 Sion.
Emergency physicians must recognize sexually transmitted infections (STIs) and acute retroviral syndrome in the ER. Prompt recognition and management, including postexposure prophylaxis (PEP), are crucial for patient care.
Area of Science:
- Emergency Medicine
- Infectious Diseases
- Public Health
Background:
- Emergency departments (EDs) present unique challenges for patient privacy and stress.
- Sexually transmitted infections (STIs) require careful management within the ED setting.
- Certain STIs may present with non-specific symptoms, mimicking other conditions.
Purpose of the Study:
- To highlight the importance of recognizing STIs in the emergency room.
- To discuss the clinical presentations of STIs and acute retroviral syndrome (ARS).
- To outline the emergency physician's role in initiating postexposure prophylaxis (PEP).
Main Methods:
- Review of clinical guidelines and literature on STIs and ARS.
- Discussion of diagnostic considerations for emergency physicians.
- Emphasis on timely management and treatment initiation.
Main Results:
- STIs can present with varied and sometimes subtle clinical findings.
- Acute retroviral syndrome (ARS) requires prompt identification.
- EDs are a critical point for initiating STI management and PEP.
Conclusions:
- Emergency physicians must be adept at diagnosing and managing STIs.
- Awareness of ARS symptoms is essential for early intervention.
- Appropriate and timely initiation of postexposure prophylaxis (PEP) is vital.
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