Overview
How are the strains of Chlamydia trachomatis (C trachomatis) differentiated?
Which medical conditions are caused by Chlamydia trachomatis (C trachomatis)?
How are Chlamydophila pneumoniae (C pneumoniae) and C psittaci transmitted?
What percentage of sexually active females are screened for chlamydia in the US?
What are the USPSTF recommendations for routine chlamydia screening?
What is the pathophysiologic mechanism of chlamydial genitourinary infections (chlamydia)?
What is the life cycle of chlamydiae?
What is the most common clinical presentation of chlamydial genitourinary infections (chlamydia)?
What is the most common coinfection with chlamydial genitourinary infections (chlamydia)?
What is the prevalence of chlamydial genitourinary infections (chlamydia) in the US?
What is the global incidence of chlamydial genitourinary infections (chlamydia)?
What is the prognosis of chlamydial genitourinary infections (chlamydia)?
What is the morbidity and mortality of chlamydial genitourinary infections (chlamydia)?
What education should be provided to patients with chlamydial genitourinary infections (chlamydia)?
Presentation
How are chlamydial genitourinary infections (chlamydia) diagnosed?
What is the prevalence of chlamydial genitourinary infections (chlamydia) in men?
What are the signs and symptoms of chlamydial genitourinary infections (chlamydia)?
What should be noted in the history of newborns with suspected chlamydial infection (chlamydia)?
What are the signs of chlamydial genitourinary infection (chlamydia) in women?
What are the signs of chlamydial genitourinary infection (chlamydia) in men?
What are the signs of chlamydial genitourinary infection (chlamydia) in newborns?
What are signs of lymphogranuloma venereum (LGV) chlamydial genitourinary infection (chlamydia)?
What are the possible sequelae of chlamydial genitourinary infection (chlamydia) in women?
How is chlamydial pneumonia or chlamydial conjunctivitis transmitted to infants?
What is Reiter syndrome and how is chlamydial genitourinary infection (chlamydia) a risk factor?
What are potential complications of chlamydial genitourinary infections (chlamydia)?
DDX
Workup
Which patients should be evaluated for chlamydial genitourinary infections (chlamydia)?
Which lab tests should be performed in infants with suspected chlamydial pneumonia?
Which lab tests should be performed in infants with suspected chlamydial conjunctivitis?
What is the role of a CBC in the workup of chlamydial genitourinary infection (chlamydia)?
What is the role of cytology in the workup of chlamydial genitourinary infections (chlamydia)?
What is the role of cell culture in the workup of chlamydial genitourinary infections (chlamydia)?
What is the role of ELISA in the workup of chlamydial genitourinary infections (chlamydia)?
How is chlamydial DNA detected in the workup of chlamydial genitourinary infection (chlamydia)?
What is the role of PCR testing in the workup of chlamydial genitourinary infections (chlamydia)?
Which serologic findings suggest chlamydial genitourinary infections (chlamydia)?
What is the role of a chest radiograph in infants with suspected chlamydial pneumonia?
Treatment
What is the key to successful management of chlamydial genitourinary infections (chlamydia)?
What is the disease progression of untreated chlamydial genitourinary infection (chlamydia)?
Which condition is often misdiagnosed as chlamydial genitourinary infections (chlamydia)?
When is antibiotic therapy for chlamydial genitourinary infection (chlamydia) initiated?
What are two categories of genital Chlamydia trachomatis (C trachomatis) infection?
What are the treatment options for chlamydial genitourinary infections (chlamydia)?
What is the treatment of lower genital infections caused by Chlamydia?
What are the treatment options and duration for chlamydial conjunctivitis and chlamydial pneumonia?
What is included in posttherapy care for chlamydial genitourinary infections (chlamydia)?
How are chlamydial genitourinary infections (chlamydia) prevented?
Guidelines
What are the WHO recommendations for treating anorectal chlamydial infection?
What are the WHO recommendations in the treatment of lymphogranuloma venereum (LGV)?
Medications
What are the goals of pharmacotherapy for chlamydial genitourinary infections (chlamydia)?
-
Pap smear showing chlamydia in the vacuoles. Magnification, 500x. Image courtesy of the National Institutes of Health, National Cancer Institute.
-
This photomicrograph reveals McCoy cell monolayers with Chlamydia trachomatis inclusion bodies; magnified 200X. Image courtesy of the Centers for Disease Control and Prevention.
-
CT scan of adolescent with chlamydial Fitz-Hugh-Curtis syndrome demonstrating perihepatic fluid collection anterior to liver.
-
CT scan of adolescent with chlamydial Fitz-Hugh-Curtis syndrome demonstrating free peritoneal fluid.