01796nas a2200301   4500000000100000008004100001260001300042653001400055653002800069653001100097653001500108653002900123653002700152653001100179653002900190653001200219653000900231653002000240653003400260653003300294653003100327100001400358245004900372300000900421490000700430520104300437022001401480       2004                            d  c2004 Feb10aAmebiasis10aDiagnosis, Differential10aFemale10aFilariasis10aGenital Diseases, Female10aGenital Diseases, Male10aHumans10aLeishmaniasis, Cutaneous10aleprosy10aMale10aschistosomiasis10aSexually Transmitted Diseases10aTuberculosis, Female Genital10aTuberculosis, Male Genital1 aRichens J00aGenital manifestations of tropical diseases.  a12-70 v803 a<p>Genital symptoms in tropical countries and among returned travellers can arise from a variety of bacterial, protozoal, and helminthic infections which are not usually sexually transmitted. The symptoms may mimic classic sexually transmitted infections (STIs) by producing ulceration (for example, amoebiasis, leishmaniasis), wart-like lesions (schistosomiasis), or lesions of the upper genital tract (epididymo-orchitis caused by tuberculosis, leprosy, and brucellosis; salpingitis as a result of tuberculosis, amoebiasis, and schistosomiasis). A variety of other genital symptoms less suggestive of STI are also seen in tropical countries. These include hydrocele (seen with filariasis), which can be no less stigmatising than STI, haemospermia (seen with schistosomiasis), and hypogonadism (which may occur in lepromatous leprosy). This article deals in turn with genital manifestations of filariasis, schistosomiasis, amoebiasis, leishmaniasis, tuberculosis and leprosy and gives clinical presentation, diagnosis, and treatment.</p>  a1368-4973