Case 9 - STD, Cervicitis

Question 1

List out the STD need to be checked

Answer 1

Chlamydia trachomatis,
Neisseria gonorrhea,
Trichomonas
Syphilis,
HIV,
HSV,
Hepatits B & C

Question 2

Indicate the test for
1.Chlamydia trachomatis,
2.Neisseria gonorrhea,
3.Syphilis (Treponema pallidum)
4.HIV,
5.HSV
6.Hepatits B & C

Answer 2

1. NAAT - Nucleic acid amplification test, gram stain culture
2. NAAT - Nucleic acid amplification test, gram stain culture
3. Rapid plasma reagin (RPR), Venereal Disease Research Laboratory (VDRL) test
4. blood test for human immunodeficiency virus (HIV) antibody
5. blood test
6. triple panel test :
   Hepatitis B surface antigen (HBsAg)
   Antibody to hepatitis B surface antigen (anti-HBs), and
   Total antibody to hepatitis B core antigen (total anti-HBc)

Question 3

Cause of mucopurulent cervical discharge

Answer 3

Chlamydia is most common cause of mucopurulent cervical discharge, Neisseria gonorrhea is less common.
Trichomonas cause “frothy” greenish discharge

Question 4

How are Chlamydia & Gonorrhea present in Newborn and when would the symptoms & signs appear?

Answer 4

Infant had Chlamydia pneumonia may presents with staccato cough and tachypnea, with or without conjunctivitis. These infants also have eosinophilia, and bilateral infiltrates with hyperinflation on chest radiograph.
Neisseria gonorrhea was once the most common cause of blindness in the newborn.
Gonococcal infections usually present between 2－5 days of life, whereas chlamydial infections present between the 5－14 day of life.

Question 5

Treatment for gonococcal infection

Answer 5

Ceftriaxone 頭孢 (Rocephin) 125 - 250mg IM
Coexistng chlamydial infection–> need azithromycin 1g orally / doxycycline 100 mg orally (7-10 days)