What Diseases, Should I Be, On The Lookout For!

[FlashM79]

So, to make, a long story short, I'm new, to the gay world, and kissed a guy, the other day! Now, all I can think about, is what diseases, I'll get, from doing so! This wasn't someone, I knew, by the way!

 

[alley]

??? Your profile says you're into watersports??? You're worried about kissing?

 

[FlashM79]

??? Your profile says you're into watersports??? You're worried about kissing?

Light watersports, mostly! I haven't, been peed on, drank piss, etc.! I do like, to pee, with other guys, and watch guys pee, so, that's why, I classified it, as watersports!

 

[KaraBulut]

Here's what we test for in gay men in high risk categories:

* Throat swab for chlamydia and gonorrhea
* Rectal swab for chlamydia and gonorrhea
* Urine test for chlamydia and gonorrhea
* Blood test for syphilis, HIV and herpes simplex virus type 2, hepatitis A & B
* Physical exam for MRSA, anal warts and genital warts

That pretty much sums it up.

 

[FlashM79]

Thanks, guys! I appreciate, all the information!

 

[BenF]

Here's what we test for in gay men in high risk categories:

* Throat swab for chlamydia and gonorrhoea
* Rectal swab for chlamydia and gonorrhoea
* Urine test for chlamydia and gonorrhoea
* Blood test for syphilis, HIV and herpes simplex virus type 2, hepatitis A & B
* Physical exam for MRSA, anal warts and genital warts

That pretty much sums it up.

What is the point of testing for MRSA in an asymptomatic individual?

 

[3stripes]

What is the point of testing for MRSA in an asymptomatic individual?

Ahm Ben, recent reports of severe groin infections from MRSA in gay men in the states thought to be sexually transmitted.

See here: http://www.justusboys.com/forum/showthread.php?t=198068

 

[BenF]

Ahm Ben, recent reports of severe groin infections from MRSA in gay men in the states thought to be sexually transmitted.

See here: http://www.justusboys.com/forum/showthread.php?t=198068

Thank you, I am aware of these "reports".

However, as Staphylococcus aureus (the methicillin resistant and the methicillin sensitive strains) are both common commensals on the skin which rarely cause problems, I ask again, what is the point in looking for it in an asymptomatic individual?

 

[KaraBulut]

What is the point of testing for MRSA in an asymptomatic individual?

It's part of the physical exam not the lab workup. We're looking for lesions of uncertain etiology. We actually do this for everyone as a screen for skin cancers and community acquired SA. We've started being a bit more aggressive with gay men because of the recent reports.

 

[3stripes]

Thank you, I am aware of these "reports".

However, as Staphylococcus aureus (the methicillin resistant and the methicillin sensitive strains) are both common commensals on the skin which rarely cause problems, I ask again, what is the point in looking for it in an asymptomatic individual?

Evidence of efficacy is not required in the land of over-investigation and over-treatment.

Common sense in particular is frowned upon by medico-legal experts as being little more than old wives tales.

(lets not even start with how you can tell on exam that its MRSA sans labs!?!)

 

[KaraBulut]

(lets not even start with how you can tell on exam that its MRSA sans labs!?!)

You can't. You're missing the point. In the old way of thinking, we are looking for "boils" or carbuncles. Typically, I've seen patients come in complaining of a "spider bite" than has not healed. We treat for presumptive SA. If it fails to respond, we would culture.

This is the way we have always done it, long before MRSA.

Most of the CMRSA that I've seen lately has been in adolescents and college-age males. If the patient has a lesion, then they do not qualify as "asymptomatic".

But we're way off topic from the question that the original poster asked.

 

[3stripes]

You can't. You're missing the point.

I'm missing the point??

Its you who insisted that examining for MRSA did not involve lab testing.

 

[BenF]

In that case, I shall now run AFB and ZN-Stains on anybody with a cough....

 

[jockboy01]

Boys... watch the egos. I think you all agree on physical exam and then testing as appropriate and now are just fighting to prove some small point that is lost to the non-medical community. Let's get back to topic.

As to kissing a boy.... assuming you kissed him on the lips and not elsewhere, not too much to worry about. The common cold is the most probable. Then there's always mono, herpes, strep throat. But these are not unique to the gay community.

 

[BenF]

Boys... watch the egos. I think you all agree on physical exam and then testing as appropriate and now are just fighting to prove some small point that is lost to the non-medical community. Let's get back to topic.

Agreed, I shall say no more on the matter other than the non-medical (and certain areas of the medical) community need to be very careful about the media-driven hooplah that surrounds MRSA.

assuming you kissed him on the lips and not elsewhere, not too much to worry about. The common cold is the most probable. Then there's always mono, herpes, strep throat. But these are not unique to the gay community.

Plus the fact that MRSA lives quite happily in approximately one-third of people's throats....