Chlamydia: Difference between revisions
(Created page with "<section begin="dermatology" />'''Chlamydia''' is most common STD, if you don’t count <abbr>HPV</abbr>. It’s caused by Chlamydia trachomatis serotypes D-K. It may progress to pelvic inflammatory disease. == Clinical features == 90% of affected people are asymptomatic. Possible symptoms in women include: * Urethritis with dysuria * Mucopurulent discharge * Postcoital bleeding Men may experience prostatitis and epididymitis. =...") |
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Revision as of 20:07, 17 July 2024
Chlamydia is most common STD, if you don’t count HPV. It’s caused by Chlamydia trachomatis serotypes D-K. It may progress to pelvic inflammatory disease.
Clinical features
90% of affected people are asymptomatic. Possible symptoms in women include:
- Urethritis with dysuria
- Mucopurulent discharge
- Postcoital bleeding
Men may experience prostatitis and epididymitis.
Diagnosis and evaluation
PCR of vaginal swab.
Treatment
Single dose 1 g PO azithromycin or doxycyclin for 7 days.
Complications
Reiter syndrome/reactive arthritis is a complication of many bacterial infections, most commonly after chlamydia. It’s associated with HLA-B27 and mostly affects young males. It’s characterised by a clinical triad of:
- Arthritis
- Conjunctivitis
- Urethritis