In ancylostomiasis menstruation is markedly interfered with and amenorrhoea is often a prominent symptom. Young men who have been affected before puberty show lack of development of pubic hair along with infantile genital organs. The girls do not show normal breast development.
Granuloma of the pudenda is a disease which is rather frequent in British Guiana.
Dhobie itch is characteristically located in the crotch region.
Bacteriological Examination of Urine
About the only tropical disease in which a bacteriological examination of the urine is of particular value is that in connection with Malta fever. It is advisable to cleanse the meatus with alcohol and then having discarded the first ounce or so of the urine to receive the remainder in a sterile salt mouth bottle. A drop of this urine can be deposited on a poured agar plate and smeared out over the surface.
As dysentery bacilli and cholera spirilla are practically absent from the blood, urine examination for the causative organisms in these diseases is fruitless.
The culturing of the urine to find paratyphoid or typhoid organisms should be carried out, as well as blood cultures, where we are dealing with puzzling fevers in the tropics. The Teague plating medium described under the chapter on Faeces is a very satisfactory one.
In culturing urine from a case of pyelitis blood agar is a most excellent differentiating medium for streptococci.