HTHSCI 2HH3 Study Guide - Final Guide: Chlamydia Trachomatis, Ectopic Pregnancy, Appendage

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Document Summary

Trachomatis: gram negative, obligate intracellular bacteria, most common bacterial sti. Females: pid, infertility, ectopic pregnancy, chronic pelvic pain, reiter"s syndrome: most infected females are asymptomatic (70%) Symptoms (if present) include: urethritis, dysuria, cervicitis, painful intercourse, lower abdominal pain, purulent discharge, abnormal vaginal bleeding. Increased risk for cervical cancer (hpv co- infection: proctitis (usually asymptomatic; can occur in absence of anal sex, males: epididymo-orchitis, 80% of reported cases between the ages of 15 . 68% in the 25 29 age group. 6 months later: urethritis, dysuria, urethral discharge. Sterility: proctitis, lymphatic spread from the urethra to the rectum, but more commonly associated with anal sex. Small, painless and heal rapidly: headache, fever and muscle pain may occur at this stage (40 hours" post-infection), culture, endocervical or vaginal (female) & urethral (male and female) sampling. Amplification tests (naats): can use urine: easier sample to collect from male patients.