Dominic RowleyMidland Regional Hospital Mullingar
MB BAO Bch BA DME Dip- GUmed FPC MICGP MRCPI
Aways looking for collaborators in world of sexual health. Particularly different experiences during Covid!
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Citations since 2017
16 Research Items
Currently we have on the go 1.A comparative study examining rates if STis during our first lockdown to the same period Covid free in 2019-This is up for submisssion. 2 We have fascinating case histories from lockdown! 3.I have a particular interest and have been involved with the Sanger institute london,anaysing the genome and syphilis antimicrobial resistance. This is due for publication. 4. Collaboration with foreign colleagues is very welcome .We have a rich database !
January 2014 - June 2017
Sydney Sexual Health Centre
- Completion of my GU training .Fantastic exposure to outback medicine .Travelled to our satellite clinics every 2 months .
Syphilis recognition in HIV-positive patients has important implications. Initial data from this study, established in June 2012 to better understand the natural history of syphilis and treatment response, examine the characteristics of patients including sexual behaviour, rates of concurrent sexually transmitted infections (STI) and type of treatm...
Men who have sex with men experience disproportionate rates of HIV acquisition. Post-exposure prophylaxis following unprotected sexual exposure reduces HIV transmission. Our aim was to assess access to post-exposure prophylaxis for men who have sex with men in Irish emergency departments. We contacted all national 24-hour adult emergency department...
Objectives The incidence of human papillomavirus (HPV)-associated anal cancer is increasing. Men who have sex with men (MSM), particularly those coinfected with HIV, are disproportionately affected. Documenting the molecular epidemiology of HPV infection is important in guiding policy makers in formulating universal and/or targeted vaccine guidelin...
Ukraine is one of the countries in Europe most affected by HIV. The escalation of open war on the European continent has affected HIV care in Ukraine in an unprecedented way. Treating physicians in Europe have little experience on how to handle HIV-specific care under these circumstances. A framework is urgently needed that both defines and sets ou...
Erectile dysfunction.premature ejaculated.Inability to ejaculated Fibrosis of the penis .structural variability in male genital.
Background Our aim principally was to assess our readiness to remain open as we provide an essential public health service namely the treatment of infectious diseases. Facing this pandemic with limited preparation time, the journey of our sexual health clinic had to evolve multiple times in order in to provide optimal care for our patient populatio...
A comparative study examinig Ireland's first 3 month lockdown compared to the same period in 2019 We focused on presenting symptoms, rates of STis and behavioural observations,i.e those were mixing households against the law and in particular how we had to adapt overnight to keep the most vulnerable patients being seen by us in various forms.
Are we keeping GPs in the loop? A retrospective audit of communication between the GUIDE clinic and local primary care centres A. Crowe (1), S. Spencer (2), P. White (1) and D. Rowley (1) 1. St James's University Hospital, Dublin, Ireland 2. Coombe Family Practice, Dublin, Ireland Background: The GUIDE clinic (GenitoUrinary and Infectious Disease...
Cerebral toxoplasmosis is one of the most common causes of focal brain lesions in immunocompromised patients, such as those with human immunodeficiency virus (HIV). Differentiating toxoplasmosis from other central nervous system (CNS) lesions provides a significant clinical challenge. Magnetic resonance (MR) imaging of the brain is key to prompt di...
A retrospective review of all new HIV positive patients attending the Sydney Sexual Health Centre in 2012 and 2013 was performed to ascertain the retention in care rates, proportion that achieved viral suppression, number of SMS reminders sent and counselling uptake. Ninety-six patients had a retention rate of 66%. Thirty-three patients (34%) were...
We describe a case of aseptic meningitis following the administration of moxifloxacin in a 45 year old man with human immunodeficiency virus (HIV). At presentation he was receiving Tuberculosis treatment on a modified regimen following severe hepatotoxicity. This included moxifloxacin, started 8 days previously. Initial cerebrospinal fluid (CSF) an...
Methadone is commonly used in the treatment of heroin addiction. Patients with a history of opioid misuse or on methadone maintenance therapy (MMT) with cancer often have difficult to manage pain. We studied 12 patients referred to the palliative care service with cancer pain who were on MMT. All had difficult to control pain, and a third required...
I DONT WANT TO SHAREV MY ARTICLE TWICE TO THE SAME PEOPLE?
Literature starting appearing from case histories around the world as we struggle to accept that this incredibly virulent virus appears to have different host receptors interms of who gets hospitalized/passes away (rip). i CAN CALL IT A VISCIOUS LITTLE BASTARD AS IT NERALY KILLED ME IN Feb lol
However my sexual health clinic is submitting a truly fascinating case, quick summary
Heterosexual couple,wife presented with corda equina symptoms,this was ruled out but syphils serology was positive for late latent syphilis,only thing in her sexual history was casual hetero affair 4 years previously. Absolutely denied ANY UPSI including oral,vaginal etc. Her CSF was negative fro T.Pall and MRI brain vlear for M.C. She was referrered to us for treatment. HOWEVER before she got to us she developed severe COVID. After recovering from acute Covid she had resumed sex with her husband who we obviosly asked to attend for treatment as a contact BUT HE PRESENTED WITH raised RPR positive and a chnacre i.e classic primary syphilis,
Before you all say he was having casual MSM or sex outside the marriage ! 5 Dr and nurses took his sexual history on different occasions because we were baffled and I put any money I HAVE THAT HIS HISTORY WAS ENTIRELY INNOCENT.
Our hypotheize COvid 19 reactivated her latent syphilis deeming her infectious.She remained Ign negative....
Certainly worth a publication in case other Drs are scracthing their heads
Thoughts ? This is what we have to do with such a new virus and when the HIV crisis struck it was scientists and clinicians lifting the phone to each other East to West coast US reporting on young gay men dying of PCP!