The Experts below are selected from a list of 6 Experts worldwide ranked by ideXlab platform
Cohen, Philip R - One of the best experts on this subject based on the ideXlab platform.
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Streptococcus dysgalactiae-associated penile bacterial disease in an elderly man acquired by fellatio: case report and literature review of penile and perianal Streptococcus dysgalactiae in men acquired by Anilingus and fellatio
eScholarship University of California, 2018Co-Authors: Heldt Manica, Lucas A, Cohen, Philip RAbstract:Streptococcus dysgalactiae subspecies equisimilis (SDSE) is a gram-positive, beta-hemolytic, large-colony-forming bacteria belonging to group C and G streptococci. It can be isolated in the normal flora of human skin, nasopharyngeal cavity, genitourinary, and gastrointestinal tracts. However, SDSE has been the cause of perianal bacterial infections associated with sexual practices. A 67-year-old man developed a penile bacterial infection secondary to SDSE. The infection presented as a painful erythematous patch on his penile distal shaft. He was successfully treated with oral cephalexin 500mg and topical mupirocin 2% ointment twice daily, for ten days. The infection resolved within ten days of treatment. Penile and perianal SDSE bacterial disease has been reported in five men, including the patient in this report. The perianal area was involved in 80 percent (4/5) of men; concurrent infection in the gluteal area was present in two men. The probable route of transmission was oral-anal (two men) or oral-genital (one man). All of the mens SDSE infections completely resolved after treatment with antibiotics. In conclusion, SDSE can cause penile and perianal bacterial disease, perhaps more frequently in individuals that receive unprotected fellatio and Anilingus from asymptomatic or symptomatic carriers of the organism in their oropharynx
Heldt Manica, Lucas A - One of the best experts on this subject based on the ideXlab platform.
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Streptococcus dysgalactiae-associated penile bacterial disease in an elderly man acquired by fellatio: case report and literature review of penile and perianal Streptococcus dysgalactiae in men acquired by Anilingus and fellatio
eScholarship University of California, 2018Co-Authors: Heldt Manica, Lucas A, Cohen, Philip RAbstract:Streptococcus dysgalactiae subspecies equisimilis (SDSE) is a gram-positive, beta-hemolytic, large-colony-forming bacteria belonging to group C and G streptococci. It can be isolated in the normal flora of human skin, nasopharyngeal cavity, genitourinary, and gastrointestinal tracts. However, SDSE has been the cause of perianal bacterial infections associated with sexual practices. A 67-year-old man developed a penile bacterial infection secondary to SDSE. The infection presented as a painful erythematous patch on his penile distal shaft. He was successfully treated with oral cephalexin 500mg and topical mupirocin 2% ointment twice daily, for ten days. The infection resolved within ten days of treatment. Penile and perianal SDSE bacterial disease has been reported in five men, including the patient in this report. The perianal area was involved in 80 percent (4/5) of men; concurrent infection in the gluteal area was present in two men. The probable route of transmission was oral-anal (two men) or oral-genital (one man). All of the mens SDSE infections completely resolved after treatment with antibiotics. In conclusion, SDSE can cause penile and perianal bacterial disease, perhaps more frequently in individuals that receive unprotected fellatio and Anilingus from asymptomatic or symptomatic carriers of the organism in their oropharynx
Bhushan Kumar - One of the best experts on this subject based on the ideXlab platform.
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sexual behaviour and hiv infection risks in indian homosexual men a cross cultural comparison
International Journal of Std & Aids, 1991Co-Authors: Bhushan Kumar, Michael W RossAbstract:Researchers conducted a pilot study of homosexual behaviors and HIV infection risks in 49 men who attended 4 sexually transmitted disease clinics in northwestern India. They compared the results with those of a nonclinic sample of Australian homosexual men. Kissing (dry [23.7%] and wet [19.61%]) was the predominant sexual behavior in the Indian sample then anal insertive (18.4%) and oral insertive (12.2%) sex. Australian men had significantly higher levels of wet kissing (p<.002) mutual masturbation (p<.001) receptive (p<.001) and insertive oral sex (p<.008) and rectal digital insertion (p<.001) than Indian men. Further Indian men did not practice analingus brachioproctic acts or sex under the influence of drugs other than alcohol. australian men tended to be older (mean 30.19 vs. 27.17) and to have more sexual partners (4.42 vs. 2.13) than the Indian men (p<.05). Indian men were much more likely to have had sex with a female as well as a man in the 2 months prior to the survey than Australian men (65.3% vs. 12.72%; p<.0001). Indeed 55.3% were married. This resulted suggested that marriage is emphasized in the Indian culture and no homosexual subculture exists in India. When the researchers compared the number of female partners of the 2 groups however no significant differences existed. Of the Indian men who practiced anal and oral with other men 93% never used condoms. Further 78% never used a condom with women. Since oral sex has been associated with a low risk of HIV transmission unprotected anal sex was the most common dangerous sexual activity for Indian men. The findings on lack of condom use with female partners highlighted the probability of HIV spreading quickly to both heterosexual and homosexual groups. In conclusion homosexual behavior between Australian and Indian men were indeed different which may reflect cultural differences.
Michael W Ross - One of the best experts on this subject based on the ideXlab platform.
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sexual behaviour and hiv infection risks in indian homosexual men a cross cultural comparison
International Journal of Std & Aids, 1991Co-Authors: Bhushan Kumar, Michael W RossAbstract:Researchers conducted a pilot study of homosexual behaviors and HIV infection risks in 49 men who attended 4 sexually transmitted disease clinics in northwestern India. They compared the results with those of a nonclinic sample of Australian homosexual men. Kissing (dry [23.7%] and wet [19.61%]) was the predominant sexual behavior in the Indian sample then anal insertive (18.4%) and oral insertive (12.2%) sex. Australian men had significantly higher levels of wet kissing (p<.002) mutual masturbation (p<.001) receptive (p<.001) and insertive oral sex (p<.008) and rectal digital insertion (p<.001) than Indian men. Further Indian men did not practice analingus brachioproctic acts or sex under the influence of drugs other than alcohol. australian men tended to be older (mean 30.19 vs. 27.17) and to have more sexual partners (4.42 vs. 2.13) than the Indian men (p<.05). Indian men were much more likely to have had sex with a female as well as a man in the 2 months prior to the survey than Australian men (65.3% vs. 12.72%; p<.0001). Indeed 55.3% were married. This resulted suggested that marriage is emphasized in the Indian culture and no homosexual subculture exists in India. When the researchers compared the number of female partners of the 2 groups however no significant differences existed. Of the Indian men who practiced anal and oral with other men 93% never used condoms. Further 78% never used a condom with women. Since oral sex has been associated with a low risk of HIV transmission unprotected anal sex was the most common dangerous sexual activity for Indian men. The findings on lack of condom use with female partners highlighted the probability of HIV spreading quickly to both heterosexual and homosexual groups. In conclusion homosexual behavior between Australian and Indian men were indeed different which may reflect cultural differences.