Infectious

Chylamydia

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Pathology

Due to Chlamydia trachomatis.


Aetiology

Sexual transmission. Congenital infection may occur.

Signs

No specific signs.

Symptoms

Women: asymptomatic or dysuria, lower abdominal pain.
Men: asymptomatic or dysuria, discharge

Investigations

MSU: Chlamydia culture and PCR. 
Microbiology: High vaginal swabs in women.

Treatment

Antibiotics: Doxycycline or single dose azithromycin most common antibiotics. 
Follow up: Contact tracing. 
Education: Advise barrier contraceptive use.

Prognosis

Usually good if treated
Peri-hepatitis (Fitz-Hugh-Curtis syndrome)
Salpingitis and adhesions leading to infertility, 
Pelvic inflammatory disease
Epididymo-orchitis,
Prostatitis
Reactive arthritis

Key Facts

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Key Images

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Key References

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