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samenvatting seksueel overdraagbare aandoeningen
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  • Course
  • Infectieziekten 3
  • Institution
  • Universiteit Antwerpen (UA)

samenvatting seksueel overdraagbare aandoeningen

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Document information

  • May 9, 2024
  • 4
  • 2023/2024
  • Summary

Subjects

  • soa
  • infectieziekten
  • infecties soa

Written for

  • Universiteit Antwerpen (UA)
  • Geneeskunde
  • Infectieziekten 3
All documents for this subject (24)

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SOA
CASE 1

 Man 23 jaar
 Symptomen: pijn tijdens het plassen
 Klinisch onderzoek: geen koorts, normal neurologisch onderzoek, bloeddruk normaal, normale
ausculatatie, uretritis
 Diagnostisch landschap: chlamydia, gonorea

URETHRITIS

 Veroorzaakt door: C. trachomatis, N. gonorrhoeae, Mycoplasma genitalium
 Urethrale swab of urine nodig voor PCR C.trachomatis/N. gonorrhoeae
 Behandeling:
- Azitromycine 1-2 g + ceftriaxone 500 mg IM
- ! bij gonorrhoeae is er resistentie
- Partner op hoogte
brengen
- Screenen voor andere SOA (Hiv, HAV, HBC,
HPV, syphilis)

GEDISSIMINEERDE GONORRHOEA

 Bloedstroom infectie
 Zeldzaam
 Huid & gewricht aantasting -> blaasjes &
zwelling gewrichten
 Behandeling: ceftriaxone 2g/24h x 7-10 d +
azithromycine 1-2 g 1keer

CASUS 2

 Vrouw met vaginale afscheiding & lage onderbuikpijn
 Klinisch onderzoek: koorts, cervix rood & gezwollen
 Diagnose: PID (pelvic inflammatory disease)
- Denk eerst ook aan appendicitis, pyleonefritis, ectopische zwangerschap, overian
torsio, endometriose, zwangerschap
 Behandeling:
- Milde PID: ceftriaxone IM (1X) + doxycycline PO + metronidazole PO x 14 d
- Erge PID: amoxiclav IV + ceftriaxone IM (1x) + doxycycline PO

CASUS 3

 Vrouw 35 jaar
 Klinisch onderzoek: blaasjes pijnlijk & jeukend
 Diagnose: herpes zoster of herpes type II

GENITALE HERPES

 Behandeling:

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