Chlamydia Trachomatis

Question 1

what is the most common bacterial STI?

Answer 1

chlamydia

Question 2

what is chlamydia?

Answer 2

intracellular bacteria that affect columnar epithelium that can be transmitted vaginally, orally or anally

Question 3

most likely age group to get chlamydia

Answer 3

20-24

Question 4

classification

Answer 4

serovars A-C
serovars D-K
serovars L1-3

Question 5

what are serovars A-C?

Answer 5

endemic trachoma (ocular infections seen mostly in developing countries)

Question 6

what are serovars D-K?

Answer 6

genital infections

Question 7

what are serovars L1-3?

Answer 7

lymphogranuloma venereum (genital ulcerative disease/ proctitis)

Question 8

how likely is PID?

Answer 8

9% of women

Question 9

what does an episode of PID increase the risk of?

Answer 9

ectopic pregnancy

tubal infertility

Question 10

presentation in males

Answer 10

asymptomatic
milky urethral discharge
abdominal pain
dysuria

Question 11

presentation in females

Answer 11

asymptomatic
irregular bleeding
abdominal pain

Question 12

complications

Answer 12

PID
ectopic pregnancy
conjunctivitis
reactive arthritis
Fitz Hugh-Curtis
neonatal transmission

Question 13

what is Fitz Hugh-Curtis?

Answer 13

perihepatitis= piano string adhesions in liver capsule

Question 14

diagnosis

Answer 14

do not grow or grain stain
combined NAAT kits using VVS, first void urine, throat and rectal swabs
microscopy
amies swab for HSV

Question 15

who gets LGV?

Answer 15

MSM

Question 16

presentation of LGV

Answer 16

rectal pain
bleeding
discharge

Question 17

risk in LGV

Answer 17

concurrent STIs (HIV)

Question 18

management of chlamydia

Answer 18

doxycycline 100mg BD x 1 week OR

azithromycin 1g stat followed by 500mg daily for 2 days

Question 19

management of PID

Answer 19

ceftriaxone 1g IM, doxycycline 100mg BD and metronidazole 400mg BD x 2 weeks