Chlamydia trachomatis: Difference between revisions
Neil.m.young (talk | contribs) No edit summary |
No edit summary |
||
| Line 7: | Line 7: | ||
==Clinical Features== | ==Clinical Features== | ||
*Vaginal discharge | |||
*Intermenstrual bleeding | |||
*[[Urethritis]] | |||
*[[Epididymitis]] | |||
*[[Proctitis]] | |||
*Reiter syndrome (urethritis, conjuctivitis, rash) | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*[[Neisseria Gonorrhoeae|Gonorrhoea]] | *[[Neisseria Gonorrhoeae|Gonorrhoea]] | ||
== | ==Diagnosis== | ||
*Urine pregnancy | |||
*Speculum exam | |||
*Endocervical or urethral swab | |||
==Treatment== | ==Treatment== | ||
| Line 35: | Line 30: | ||
*Partners in the previous 60 days should all be notified/tested/treated | *Partners in the previous 60 days should all be notified/tested/treated | ||
*Rescreen in 3 months anyone who tested positive for Chlamydia | *Rescreen in 3 months anyone who tested positive for Chlamydia | ||
==Complications== | |||
*[[Pelvic Inflammatory Disease|PID]] | |||
*[[Ectopic Pregnancy]] | |||
*Infertility | |||
==See Also== | ==See Also== | ||
| Line 41: | Line 41: | ||
*[[Lymphogranuloma venereum]] (for L1, L2, and L3 serovars) | *[[Lymphogranuloma venereum]] (for L1, L2, and L3 serovars) | ||
== | ==References== | ||
<references/> | <references/> | ||
[[Category:ID]] | [[Category:ID]] | ||
[[Category:GU]] | [[Category:GU]] | ||
Revision as of 18:55, 5 June 2015
Not to be confused with chlamydophila, another genus of pathogenic bacteria
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)
Differential Diagnosis
Diagnosis
- Urine pregnancy
- Speculum exam
- Endocervical or urethral swab
Treatment
- Azithromycin 1g PO x 1 OR
- Doxycycline 100mg PO BID x 7 days
Disposition
- Avoid sex for 7 days to prevent transmission
- Partners in the previous 60 days should all be notified/tested/treated
- Rescreen in 3 months anyone who tested positive for Chlamydia
Complications
- PID
- Ectopic Pregnancy
- Infertility
See Also
- STDs
- Proctitis
- Lymphogranuloma venereum (for L1, L2, and L3 serovars)