Bartholinitis: 33% of chlamydial infections

Bartholinitis of chlamydial infections

LOWER GENITAL TRACT INFECTION

 

May often be asymptomatic and progress to upper genital tract disease

Bartholinitis: 33% of chlamydial infections

Endocervicitis: most common

Mucopurulent cervicitis

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

Friable cervix

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.

  1. trachomatis Will not be recovered from urine.

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