Changing trends of sexually transmitted infections (STI) and
HIV/AIDS has been noted in the literature over years, depending to some extent
on the geographical and cultural factors of the region. In Kashmir Valley also,
the pattern of STI may be different from the rest of the country.
The aim was to present the experience with patterns of STI
in Kashmir.
Retrospective hospital-based study carried out by detailed
analysis of case records of 5-year period.
A total of 184 patients, 100 males and 84 females, had
specific STI. Genital ulcer disease was the presentation in 54 patients
(29.35%), out of which herpes genitalis was found in 27 patients (50%),
followed by chancroid in 13 (24.07%) and syphilis in 10 (18.52%) patients. 42
female patients (22.83%) presented with vaginal discharge, out of which, 24
(57.14%) had vaginal candidiasis. 24 males (13.04%) presented with urethral
discharge, out of which, 15 (62.5%) had nongonococcal and 9 (37.5%) gonococcal
urethritis. Genital molluscum contagiosum (MC) was found in 19 patients (10.33%),
and warts in 15 (8.15%). HIV positive serology was detected in 3 patients
(1.63%).
The most common STI encountered in our study was genital
ulcer, followed by vaginal discharge, urethritis, genital MC, and genital
warts. Herpes genitalis was the commonest genital ulcer; candidiasis was the
most common cause of vaginal discharge and nongonococcal urethritis the most
common cause of urethritis. These findings are by and large similar to those
noted in other parts of our country.
Below: Verrucae (warts) on female genitilia
Below: Molluscum contagiosum on male (a) and female (b) genitilia
Table 1
Details of the patterns of STIs
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Department of Dermatology, Sexually Transmitted Diseases and Leprosy, Government Medical College, University of Kashmir, Srinagar, Jammu and Kashmir, India
