Oropharyngeal Syndrome

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Oral sex can lead to oropharyngeal STIs (infections of mouth and throat). 

Causes 

• Human Papilloma Virus
• Herpes Simplex Virus
• N. gonorrhoea  
• Chlamydia spp
• Treponema pallidum

Clinical presentation 

• Pharyngitis
• History of unprotected oral sex                                      

Investigation(s) if the HF has a laboratory capable of doing:  

• Wet preparation 
• Gram stain 
• Pap test (Papanicolaou’s test) 
• Culture and Sensitivity 
• Rapid Plasma Reagin (RPR) 
• Treponema pallidum particle agglutination (TPPA) 
•  ELISA 
•  Quantitative or qualitative PCR  
•  Genetic sequencing 
• Fluorescent Microscopy 

Management and Treatment of Oropharyngeal syndrome(see flow chart 12.6.)