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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The clinical diagnosis of genital ulcer disease in men in the tropics
Sexually Transmitted Diseases, Volume 11, No. 2, Year 1984
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Description
Since the clinical diagnosis of genital ulcers without laboratory confirmation is not reliable in developed countries, we postulated that clinical diagnosis alone would be no more reliable in developing countries. A presumptive clinical diagnosis of chancroid, genital herpes, syphilis, or lymphogranuloma venereum was made for 100 male patients at the Special Treatment Clinic in Nairobi, Kenya. This diagnosis was then compared to the final diagnosis determined by laboratory identification of the pathogen, by culture, or by serologic response. In 64 patients, a final diagnosis of either chancroid, syphilis, or genital herpes was established. The diagnostic accuracy varied from 75% for chancroid to 42% for syphilis and 43% for herpes. The overall diagnostic accuracy was 66%. The predictive values of positive clinical diagnoses were 84% for chancroid, 60% for syphilis, and 75% for herpes. Thus, clinical diagnosis of genital ulcer disease was not sufficiently reliable in this study. © 1984 American Sexually Transmitted Diseases Association.
Authors & Co-Authors
Fast, Margaret V.
Canada, Winnipeg
University of Manitoba
Kenya, Nairobi
Nairobi City Council Special Treatment Clinic
Kenya, Nairobi
University of Nairobi
Belgium, Antwerpen
Institute Voor Tropishche Geneeskunde Prince Leopold
United States, Atlanta
Centers for Disease Control and Prevention
D’costa, Lourdes J.
Canada, Winnipeg
University of Manitoba
Kenya, Nairobi
Nairobi City Council Special Treatment Clinic
Kenya, Nairobi
University of Nairobi
Belgium, Antwerpen
Institute Voor Tropishche Geneeskunde Prince Leopold
United States, Atlanta
Centers for Disease Control and Prevention
Nsanze, Herbert N.
Canada, Winnipeg
University of Manitoba
Kenya, Nairobi
Nairobi City Council Special Treatment Clinic
Kenya, Nairobi
University of Nairobi
Belgium, Antwerpen
Institute Voor Tropishche Geneeskunde Prince Leopold
United States, Atlanta
Centers for Disease Control and Prevention
Piot, Peter K.
Canada, Winnipeg
University of Manitoba
Kenya, Nairobi
Nairobi City Council Special Treatment Clinic
Kenya, Nairobi
University of Nairobi
Belgium, Antwerpen
Institute Voor Tropishche Geneeskunde Prince Leopold
United States, Atlanta
Centers for Disease Control and Prevention
Curran, James
Canada, Winnipeg
University of Manitoba
Kenya, Nairobi
Nairobi City Council Special Treatment Clinic
Kenya, Nairobi
University of Nairobi
Belgium, Antwerpen
Institute Voor Tropishche Geneeskunde Prince Leopold
United States, Atlanta
Centers for Disease Control and Prevention
Karasira, Peter
Canada, Winnipeg
University of Manitoba
Kenya, Nairobi
Nairobi City Council Special Treatment Clinic
Kenya, Nairobi
University of Nairobi
Belgium, Antwerpen
Institute Voor Tropishche Geneeskunde Prince Leopold
United States, Atlanta
Centers for Disease Control and Prevention
Mirza, Nazir Begum
Canada, Winnipeg
University of Manitoba
Kenya, Nairobi
Nairobi City Council Special Treatment Clinic
Kenya, Nairobi
University of Nairobi
Belgium, Antwerpen
Institute Voor Tropishche Geneeskunde Prince Leopold
United States, Atlanta
Centers for Disease Control and Prevention
MacLean, Ian W.
Canada, Winnipeg
University of Manitoba
Kenya, Nairobi
Nairobi City Council Special Treatment Clinic
Kenya, Nairobi
University of Nairobi
Belgium, Antwerpen
Institute Voor Tropishche Geneeskunde Prince Leopold
United States, Atlanta
Centers for Disease Control and Prevention
Ronald, Allan R.
Canada, Winnipeg
University of Manitoba
Kenya, Nairobi
Nairobi City Council Special Treatment Clinic
Kenya, Nairobi
University of Nairobi
Belgium, Antwerpen
Institute Voor Tropishche Geneeskunde Prince Leopold
United States, Atlanta
Centers for Disease Control and Prevention
Statistics
Citations: 55
Authors: 9
Affiliations: 5
Identifiers
Doi:
10.1097/00007435-198404000-00004
ISSN:
01485717
e-ISSN:
15374521
Research Areas
Health System And Policy
Sexual And Reproductive Health
Study Locations
Kenya
Participants Gender
Male