Diseases of the Genitourinary System Case Study 12
Javan’s best friend, Mike has come to him for advice since he is a physician
at St. Jude Memorial Hospital in Missoula Montana. Mike is a bit upset because after having been single for over 20 years, he finally has a girlfriend
who disclosed to him that she has genital herpes. Mike can’t see how he can
have a long-term intimate relationship with his new girlfriend. After telling
Mike to calm down, Mike decides to give his new relationship a chance and
decides to try and make it work. Mike’s new girlfriend is ready to take the relationship to the next level, a level that includes sexual relations. She told
Mike that they would do this only if she were lesion-free and that if he wore a
condom, they would be fine. Mike is skeptical and asks Javan for his advice.
Questions:
1. Are they safe if she does not have lesions at the time of their intercourse? Why or why not?
2. Whether Mike’s girlfriend has lesions or not, if he uses a condom will he
be protected? Explain.
3. If Mike were the one with herpes and his girlfriend was uninfected,
would his use of a condom completely protect her? Explain
4. What would you say is the safest way for Mike and his girlfriend to have
intercourse?
5. What about those new drugs Mike has heard about on TV? Can his girlfriend take those and cure herself? Or at least avoid infecting him?
Give some detail.
6. Below is common microorganisms causing infections in the genitourinary tract, discourses the ones that might cause the disease mention in
the case study. Common microorganisms causing infections in the genitourinary
tract:
Bacteria:
• Gram positive
o Staphylococcus aureus Diseases of the Genitourinary System
o Staphylococcus saprophyticus
o Streptococcus pyogenes
• Gram negative
o Chlamydia trachomatis
o Escherichia coli
o Gardnerella vaginalis
o Haemophilus ducreyi
o Leptospira interrogans
o Neisseria gonorrhaeae
o Treponema pallidum Fungi:
• Candida albicans Viruses
• Herpes simplex virus
• Human papillomavirus Protozoa
• Trichomonas vaginalis

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