Podcast
Questions and Answers
What is the highest prevalence age group for genital Chlamydia infections?
What is the highest prevalence age group for genital Chlamydia infections?
Which of the following is NOT a symptom of chlamydial infection in women?
Which of the following is NOT a symptom of chlamydial infection in women?
What is a potential long-term complication of untreated chlamydia infection in women?
What is a potential long-term complication of untreated chlamydia infection in women?
Which microorganism has the highest prevalence among non-gonococcal urethritis (NGU) cases?
Which microorganism has the highest prevalence among non-gonococcal urethritis (NGU) cases?
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Which of the following is a sign meaning there could be a chlamydial infection in women?
Which of the following is a sign meaning there could be a chlamydial infection in women?
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What percentage range represents the prevalence of Chlamydia trachomatis in NGU?
What percentage range represents the prevalence of Chlamydia trachomatis in NGU?
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Which of these is commonly associated with rectal infections of chlamydia?
Which of these is commonly associated with rectal infections of chlamydia?
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Which factor has contributed to the increased incidence of STIs in certain population groups?
Which factor has contributed to the increased incidence of STIs in certain population groups?
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Study Notes
Genital Chlamydia
- Caused by Chlamydia trachomatis, an obligate intracellular bacterium
- Highest prevalence in 15-24 year olds
- Infection may resolve naturally or persist
- Can cause significant short- and long-term health problems
Chlamydia Symptoms and Presentation
- Many infected individuals are asymptomatic, especially initially
- Symptoms may include abnormal genital discharge, painful urination, pelvic pain, and abnormal vaginal bleeding in women
- Left untreated, it can lead to serious complications like pelvic inflammatory disease (PID), infertility, and ectopic pregnancy
Chlamydia Clinical Features
- Women: Symptoms may include increased vaginal discharge, post-coital/intermenstrual bleeding, dysuria, lower abdominal pain, and deep dyspareunia. Signs include mucopurulent cervicitis (with or without bleeding), pelvic tenderness, and cervical motion tenderness.
- Men: Symptoms (often mild and unnoticed) may include urethral discharge and dysuria. Signs include urethral discharge.
Chlamydia Long-Term Effects
- Increased risk of pelvic inflammatory disease (PID), endometritis, salpingitis, tubal infertility, ectopic pregnancy, and sexually acquired reactive arthritis (SARA) in women
Chlamydia - Extra-genital Infections
- Rectal infections: Often asymptomatic, but may cause anal discharge and anorectal discomfort; even women without reported anal sex may be infected.
- Pharyngeal infections: Chlamydia carriage in the throat is higher in men who have sex with men (MSM) (0.5-2.3%), but data on women is limited; typically asymptomatic.
- Conjunctival infections: Usually sexually acquired in adults, presenting as unilateral chronic, low-grade eye irritation (can be bilateral).
Other STIs (related)
- Urethritis and Cervicitis: Common bacterial causes include Chlamydia trachomatis, Neisseria gonorrhoeae (GC), Non-gonococcal Urethritis (NGU) with various subtypes including Mycoplasma genitalium, Ureaplasmas, and Trichomonas vaginalis. Adenoviruses and Herpes simplex virus-2 are also mentioned as potential causes with much lower prevalence compared to the others.
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Description
This quiz covers the essentials of genital chlamydia, focusing on its causative agent, Chlamydia trachomatis, and the demographics most affected. It also discusses common symptoms and clinical features in both men and women, emphasizing the importance of awareness and early detection. Understand the health consequences of untreated chlamydia and how it can impact reproductive health.