Sexually Transmitted Diseases - Mycoplasma genitalium

Question 1

Pathology : Mycoplasma genitalium.

Answer 1

Bacteria that causes non-gonococcal urethritis.

Question 2

Clinical Presentation of Mycoplasma genitalium (2).

Answer 2

1. Asymptomatic - similar to Chlamydia.
2. Non-Gonococcal Urethritis.

Question 3

Investigations of Mycoplasma genitalium (2).

Answer 3

1. Very slow-growing organism :: NAAT testing (1st Urine Sample : Men, Vaginal Swabs : Women).
2. Test sample for Macrolide Resistance.
3. Test of Cure Post-Treatment.

Question 4

Medical Management of Mycoplasma genitalium (3).

Answer 4

1. 1st Line - Uncomplicated : Doxycycline 100mg BD for 7 Days and then Azithromycin 1g STAT and then Azithromycin 500mg OD for 2 Days (unless resistant to Macrolides).
2. Alternative : Moxifloxacin.
3. Pregnancy & Breastfeeding : Moxifloxacin.