Chlamydia

Question 1

What type of bacteris is chlamydia trachomatis?

Answer 1

Gram negative intracellular bacterium

Question 2

What will a male who is infected with chlamydia trachomatis present with?

Answer 2

Urethritis– can give rise to epididymitis, prostatitis and proctitis – acute epididymitis is a complication

Question 3

What is Reiters syndrome?

Answer 3

An autoimmune disease that develops in response to an infection in another part of the body.

Question 4

What are the triad of symptoms for Reiters syndrome?

Answer 4

UrethritisConjunctivitisArthritis

Question 5

What will a female who is infected with chlamydia trachomatis present with?

Answer 5

Often is asymptomatic– causes urethritis, cervicitis, salpingitis, perihepatitis

Question 6

Give some characteristics of a chlamydia trachomatis infection in females

Answer 6

Infection grows and replicates in the epithelium of the cervix and urethra. Can ascend to the upper genital tract, giving rise to PID (salpingitis and endometriosis)

Question 7

What is perihepatitis?

Answer 7

A rare complication of chlamydia trachomatis, where the infection tracks to the abdomen, causing inflammation of the serous/peritoneal lining of the liver

Question 8

How will chlamydia be diagnosed?

Answer 8

Male - urethral swab or first catch urineFemale - endocervical swabAntigen detectionEnzyme immunoassays

Question 9

What is the treatment for chlamydia?

Answer 9

Doxycyline or azithromycin

Question 10

What can occur if neonatal infection occurs?

Answer 10

Neonatal conjungtivitis which can lead to neonatal pneumonia

Question 11

How can a diagnosis of neonatal conjungtivitis be made?

Answer 11

Remove any pus from the eye and then invert the eyelid and scrape the conjunctival surface in order to obtain cellular material.