ABSTRACT: 48 consecutive male patients of potency disorders were examined and classified as 'Dhat' syndrome, impotence or premature ejaculation. The age range of these cases was found as 20-38 years (mean 23.5 plus minus 3.3 years) while age of onset was 16-24 years (mean 20.6 plus minus 4.5 years). Majority of cases were unmarried (54.2 percent) and educated 5th class or above (79.1 percent). 31 cases (64.6 percent) had Dhat syndrome with or without impotency and/or premature ejaculation while 7 cases (14.6 percent) had only premature ejaculation and 10 cases (20.8 percent) only impotence. The cases with 'Dhat' syndrome or with impotence scored maximally on neuroticism and depression scales. Neurotic depression was the commonest associated psychiatric illness (39.5 percent) followed by anxiety neurosis (20.8 percent) while 31.3 percent did not have any possible diagnosis. The common presenting symptoms of 'Dhat' syndrome include weakness (70.8 percent), fatigue (68.7 percent), palpitations (68.7 percent), sleeplessness (62.4 percent) etc. Among the four groups on the basis of type of treatment (antianxiety drug, antidepressant, placebo, psychotherapy), the best response was seen in those receiving antianxiety or antidepressant drugs while those receiving psychotherapy showed minimal response. 7 cases (14.6 percent) dropped out of treatment and the maximum dropout (40.6 percent) was seen in psychotherapy group.

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ABSTRACT: One hundred and seventy six cases of various clinical types of pyodermas were investigated to find the causative organism of the disease. folliculitis formed the largest clinical group followed by infectious eczematoid dermatitis, secondary infection, furuncles, impetigo, ecthyma and carbuncle in descending order of frequency. A total of 189 micro-organisms were isolated from the specimens examined. A single infecting organism was isolated from 74.43 percent and more than one type of organism from 16.48 percent of cases. Coagulase positive staphylococcus (73.02 percent) was the predominant species followed by beta-haemolytic streptococcus (26.98 percent). Coagulase positive staphylococcus was isolated from 109 (61.93 percent), betahaemolytic streptococcus from 22 (12.5 percent) and both these organisms from 29 (16.48 percent) cases. The antibiotic resistance pattern showed maximum resistance to penicillin followed by ampicillin. None of the strain was found to be resistant to kanamycin. Low percentage of strains were found to be resistant to streptomycin, oxytetracycline, trimethoprim, cloxacillin, erythromycin, chloramphenicol, cephalexin, gentamycin and neomycin.

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ABSTRACT: A case of gonococcal urethritis with streptococcal ecthyma of the shaft of the penis is discussed. Although uncommon, streptococci can sometimes cause major genital diseases. The incidence of sexually transmitted diseases is increasing throughout the world with varied clinical features of the disease, including uncommon infections due to bacteria. virus, and fungi. The various genital infections caused by neisseria gonorrhoea are well known. Eventhough streptococci can cause cutaneous and systemic diseases and rarely life threatening infections, lesions on the genitalia are uncommon. Streptococcal infections usually present as impetigo, ecthyma, lymphangitis and cellulitis.

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