chlamydia
| Chlamydia trachomatis - GUM. C. psittaci - lung. | |
|---|---|
| Etiology | gram negative coccobacillus, obligate intracellular organism |
| Epidemiology | incubation 7-21 days 70-80% women asymptomatic, 50% men asymptomatic |
| Clinical presentation | Female: dysuria, post coital bleeding, dyspareunia, Pelvic inflammatory disease Male: urethral discharge, dysuria, epididymo-orchitis Non-GUM presentations: Neonatal conjunctivitis, lymphogranuloma venereum (proctitis), reactive arthritis, Chlamydia psittaci → pneumonia |
| Pathogenesis | |
| Investigations: | Endocervical/rectal swab - NAAT Urethral smear: polymorphs on Gram stain |
| Management: | one off dose azithromycin 1g or doxycycline 100mg BD ➥ In pregnancy: ➥➥ Use azithro/erythromycin instead ➥➥ Risk ↓ birth weight, PID ➥➥ treatment of cure required for rectal infections, in pregnancy ➥➥ neonatal conjunctivitis ➥ Chlamydia in children - think safeguarding! |