Bogaerts J, Ricart C A, Van Dyck E, Piot P
Centre Hospitalier de Kigali, Rwanda.
Sex Transm Dis. 1989 Jul-Sep;16(3):123-6. doi: 10.1097/00007435-198907000-00001.
The etiology of genital ulcer disease was determined in 210 consecutive patients (110 men and 100 women) who presented at a clinic in Kigali, Rwanda, because of genital ulcers. When mixed infections are included, syphilis (21%), chancroid (24%), and genital herpes (17%) were about equally frequent in men. Lymphogranuloma venereum with ulceration was found in 11% of patients. Syphilis (40%) was the most common diagnosis in women; genital herpes (20%), lymphogranuloma venereum with ulceration (19%) and chancroid (12%) also were frequent diagnoses. Microscopic examination for treponemes after silver-impregnation staining had a poor sensitivity and specificity for the diagnosis of primary syphilis. Overall, 59% of the patients (43% of the men and 77% of the women) had IgG antibodies to the human immunodeficiency virus.
在卢旺达基加利一家诊所，对因生殖器溃疡前来就诊的210例连续患者（110名男性和100名女性）进行了生殖器溃疡疾病的病因诊断。若将混合感染包括在内，梅毒（21%）、软下疳（24%）和生殖器疱疹（17%）在男性中出现的频率大致相同。11%的患者发现有溃疡性淋巴肉芽肿。梅毒（40%）是女性中最常见的诊断；生殖器疱疹（20%）、溃疡性淋巴肉芽肿（19%）和软下疳（12%）也是常见诊断。银染后梅毒螺旋体的显微镜检查对一期梅毒的诊断敏感性和特异性较差。总体而言，59%的患者（43%的男性和77%的女性）有人免疫缺陷病毒IgG抗体。
