Infectious Diseases and GUM

Question 1

Chlamydia trachomatis

Answer 1

This sexually transmitted infection can either be asymptomatic or may present with dysuria, cervicitis and a clear vaginal discharge. It is diagnosed by a nucleic acid amplification test. The first line antibiotic is doxycycline.

Pregnant woman - Azithromycin

Question 2

Trichomonas vaginalis

Answer 2

This can cause dysuria and cervicitis and is also diagnosed by a nucleic acid amplification test.. However, the discharge tends to be green-ish and the treatment is with metronidazole.

Question 3

Neisseria gonorrhoeae

Answer 3

This shares many of the same symptoms as Chlamydia trachomatis and can also be diagnosed via a nucleic acid amplification test. However, the treatment is with ceftriaxone.

Question 4

Gardnerella vaginalis

Answer 4

This is a typical cause of bacterial vaginosis. A ‘fishy’ odour is commonly described in this disorder and the treatment is with metronidazole.