mycoplasma genitelium

Question 1

what does mycoplasma genitelium typically cause?

Answer 1

non- gonococcal urethritis

Question 2

presentation of someone with mycoplasma genitelium?

Answer 2

most cases are asymptomatic
-urethritis is a key feature!!
-epididimytis
-cervicitis
-endometritis
-PID
-reactive arthritis
-preterm delivery in pregnancy
-tubal infertility
-Presentation very similar to chlamydia (often have both chlamydia and mycoplasma genitilium)

Question 3

what STI is often associated with mycoplasma genitilium?

Answer 3

chlamydia

Question 4

investigations for mycoplasma genitilium?

Answer 4

NAAT
men= first urine sample in morning
women= vaginal swabs

Question 5

treatment for mycoplasma genitilium?

Answer 5

doxycyline for 7 days
OR
Azythromycin (for pregnancy and breast feeding)

Question 6

what is the problem with treating mycoplasma genitilium?

Answer 6

there are high levels of macrolide resistance (approx 40%) - especially with azithromycin