Doctor insights on:
Things Mistaken For St Ds
Lupus, old age...: False-positive syphilis screens are common in older folks and especially in lupus; that's why we follow up. The herpes antibody blood tests are notoriously unreliable. Interpreting microbiology smears requires expertise; i once had to defend a bogus "child abuse" case in which a pediatrician mistook chickenpox for gonorrhea based on his ignorance interpreting a lab test. ...Read more
Diagnosed with urethritis but tested negative for UTI and stds. What other possible causes/treatments?
Ureaplasma or viral: Non-specific urethritis (NSU). These organisms are notoriously difficult to identify. Discuss with your Dr., ureaplasma respond to Erythromycin type of antibiotics. Viral urethritis is treated symptomatically. Pyridium (phenazopyridine) can relieve the burning sensation. Probiotics e.g live culture yogurt or lactobacillus may help ...Read more
Usually not.: Symptoms for both these infections are quite different. ...Read more
Two questions, what are some things that could be mistaken for genital warts and how do you test for genital warts at home?
Can 1g azithromycin treat anything else other than Clamydia and gonorreah? Treated for suspected PID but have NO positive STI swabs.
See below: Azithromycin 1g: a treatment of choice for urethritis and cervicitis as most of these infections are due to gonorrhea and/or Chlamydia. Same dose also used for Rx of the STD "Chanchroid." PID can be difficult diagnosis to make and cultures not always positive. Pelvic/lower abdominal pain, tenderness on pelvic exam, vaginal discharge, fever usual symptoms. 2 weeks of oral antibiotics in mild cases ...Read more
Not usually: There could be a little clinical overlap, but under the microscope they are worlds apart. Generally the symptoms and exam are pretty characteristic of each. ...Read more
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