Chlamydia trachomatis: Difference between revisions
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==Background== | ==Background== | ||
*Most frequently reported STD | |||
*Age < 25 most prevalent group | |||
*Asymptomatic in > 50% of infected individuals | |||
==Clinical Features== | ==Clinical Features== | ||
#Vaginal discharge | |||
#Intermenstrual bleeding | |||
#[[Urethritis]] | |||
#[[Epididymitis]] | |||
#[[Proctitis]] | |||
#Reiter syndrome (urethritis, conjuctivitis, rash) | |||
==Complications== | |||
#[[Pelvic Inflammatory Disease|PID]] | |||
#[[Ectopic Pregnancy]] | |||
#Infertility | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*[[Neisseria Gonorrhoeae|Gonorrhoea]] | |||
==Workup== | ==Workup== | ||
#Urine pregnancy | |||
#Speculum exam | |||
#Endocervical or urethral swab | |||
== | ==Treatment== | ||
*Azithromycin 1g PO x 1 OR | |||
*Doxycycline x 7 days | |||
NB: | |||
#avoid sex for 7 days to prevent transmission | |||
#sexual partners should be referred for testing and treatment | |||
==See Also== | ==See Also== | ||
| Line 16: | Line 38: | ||
==Sources== | ==Sources== | ||
Tintinalli | |||
<references/> | <references/> | ||
[[Category:ID]] | [[Category:ID]] | ||
[[Category:GU]] | [[Category:GU]] | ||
Revision as of 05:17, 1 June 2014
Background
- Most frequently reported STD
- Age < 25 most prevalent group
- Asymptomatic in > 50% of infected individuals
Clinical Features
- Vaginal discharge
- Intermenstrual bleeding
- Urethritis
- Epididymitis
- Proctitis
- Reiter syndrome (urethritis, conjuctivitis, rash)
Complications
- PID
- Ectopic Pregnancy
- Infertility
Differential Diagnosis
Workup
- Urine pregnancy
- Speculum exam
- Endocervical or urethral swab
Treatment
- Azithromycin 1g PO x 1 OR
- Doxycycline x 7 days
NB:
- avoid sex for 7 days to prevent transmission
- sexual partners should be referred for testing and treatment
See Also
Sources
Tintinalli