LOWER GENITAL TRACT INFECTION
May often be asymptomatic and progress to upper genital tract disease
Bartholinitis: 33% of chlamydial infections
Endocervicitis: most common
Specific for most nonciliated columnar or cuboidal epithelia (i.e., conjunctiva, urethra, endocervix, endometrium, fallopian tube mucosa)
Diagnosis suggested by the following:
Positive swab test: a Q’Tip inserted into the endocervix stains yellowish-green
Greater than 10 PMNS/oil immersion field gram stain
Acute urethral syndrome
Indicated by dysuria and urinary frequency.
Develops from 25% of cases of C. trachomatis.
Sterile pyuria is found on urinalysis, or pyuria is found but with fewer than 105 organisms/mL.
Culture cervix and urethra for diagnosis.
- trachomatis Will not be recovered from urine.