Cases reported "Chlamydia Infections"

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1/7. An interesting case presentation: a possible new route for perinatal acquisition of Chlamydia.

    chlamydia trachomatis is currently the most common sexually transmitted disease in the united states. The prevalence in pregnant women ranges between 2% and 47%. It is well known that C trachomatis can be transmitted from the genital tract of an infected mother to her newborn infant, causing conjunctivitis or pneumonia or both, along with their longstanding complications. A review of the literature failed to show, however, conclusive evidence of transmission of infection to the newborn infant when the infant was born by cesarean section with intact amniotic membranes. We present a case of a young black woman with a history of chlamydia cervicitis during pregnancy whose infant was delivered by cesarean section because of failure to progress. She gave birth to a healthy term infant who developed ophthalmia neonatorum on the 3rd day of life. Examinations of conjunctival scrapings with direct fluorescent staining (chlamydia MicroTrak) performed on the 1st and 3rd day of life were positive. The initial test was performed because of the maternal history. The infant was mildly symptomatic at the time the study was repeated for confirmation. Our findings strongly suggest the possibility of either transmembrane or transplacental route of infection in the pathogenesis of neonatal chlamydia infection. Further study is needed to confirm this possibility.
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keywords = cervicitis
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2/7. A patient with seminal vesiculitis prior to acute chlamydial epididymitis.

    This is the first report of a case of seminal vesiculitis prior to acute chlamydial epididymitis. At the first visit to the clinic, the patient wished to check whether he had chlamydia trachomatis in his genital tract, because his wife had been diagnosed as having chlamydial cervicitis. He had no specific symptoms at that time; however, transrectal ultrasonograpy (TRUS) revealed swelling of seminal vesicles, which suggested the presence of seminal vesiculitis. Two days after the first visit, he had high-grade fever and was diagnosed as having acute epididymitis caused by C. trachomatis. We had previously reported that seminal vesiculitis was always complicated with acute epididymitis, so this case could provide important evidence that seminal vesiculitis might precede acute epididymitis. It suggested that acute epididymitis could be affected by seminal vesiculitis via the retrograde transmission route.
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keywords = cervicitis
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3/7. Follicular cervicitis: a case report.

    Chronic follicular cervicitis (CFC) is a benign inflammatory condition which can be easily diagnosed with a fair degree of assurance on pap stained cervical smears, thus preventing the need for cervical biopsy. We report a case of CFC in a postmenopausal woman.
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keywords = cervicitis
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4/7. Complications of coexisting chlamydial and gonococcal infections.

    physicians need to take every opportunity to educate their patients regarding the pathogenesis of sexually transmitted diseases and the risks of acquiring them. If the current epidemic of these diseases is to be curtailed, concurrent infections must be detected and treated according to the guidelines of the Centers for Disease Control. In addition, cultures should be obtained and appropriate treatment administered to sexual partners of patients treated for gonorrhea, acute urethral syndrome, mucopurulent cervicitis, pelvic inflammatory disease, nongonococcal urethritis, and epididymitis. Finally, screening should be done in patient groups at high risk for chlamydial infection.
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keywords = cervicitis
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5/7. Chlamydial proctitis--unusual presentation as a symptomatic vaginal mass.

    Chlamydial cervicitis and salpingitis are being increasingly diagnosed and reported, but chlamydial proctitis is an unusual problem to be found in gynecologic practice. In the reported patient who gave a history of rectal intercourse and presented with a symptomatic vaginal mass, a diagnosis of chlamydial proctitis was made on the basis of biopsy histology, specific monoclonal antibody-immunoperoxidase chlamydia assay, and response to doxycycline therapy.
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keywords = cervicitis
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6/7. Chlamydial infection in a family.

    In a family comprising parents and two daughters, chlamydia trachomatis (CT) was observed to be the infective agent causing urethritis in the father and conjunctivitis in the newborn. CT was probably a trigger factor in Reiter's syndrome (RS) in the mother, who suffered from arthritis, microscopic pyuria and hematuria, cervicitis and ocular manifestations. The elder daughter's mucocutaneous manifestations, probably keratodermia blennorrhagica, broke out simultaneously with chlamydial infections in the other members of the family. Later she developed joint pains, conjunctivitis and vulvitis. The elder daughter and the father are HLA-B27 negative, whereas the mother is HLA-B27 positive. With this study we would like to emphasize the importance of observing the microbial environment in the family in the etiology of rheumatic disease. Simultaneous treatment of infections in family members might benefit the clinical course of rheumatic disease.
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keywords = cervicitis
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7/7. endometritis related to chlamydia trachomatis infection.

    A 23-year-old woman had endometritis due to chlamydia trachomatis infection. chlamydia trachomatis was cultured from endometrial tissue obtained by biopsy, and elevated levels of serum antibodies, including IgM antibodies, to C. trachomatis were found. Cervical secretions were also positive for antibody. After treatment with tetracycline, endometrial cultures for C. trachomatis were negative and endometrial inflammation disappeared. chlamydia trachomatis has been implicated in salpingitis, cervicitis, urethritis, and peritonitis, This case shows that endometritis may also result from C. trachomatis infection and in such instances may be a contributing factor in infertility.
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keywords = cervicitis
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