Urogenital infection with Chlamydia trachomatis

Inclusion body urethritis, urethritis type Waelsch

Urethra infection transmitted only during sexual intercourse. The pathogen is Chlamydia trachomatis.

Urogenital infection with Chlamydia trachomatis accounts for about 60% of all non-specific urethritis.

After an incubation period of 4 days - 1 month a glassy to purulent discharge appears. There are both asymptomatic forms (often in women) and patients who report severe pain when urinating.

• Medical history

  • Sexual intercourse with changing partners (increased risk)?

  • Other STIs?

  • Burning when urinating?

  • Spout?

• Clinical image 

• Urethra smear (Pat. should not have been urinated 2 hours before).
    

1. Yealy DM, Greene TJ, Hobbs GD. Underrecognition of CervicalNeisseria gonorrhoeaeandChlamydia trachomatisInfections in the Emergency Department. Academic Emergency Medicine 1997;4:962-7.
2.  Palladino S, Pearman JW, Kay ID, et al. Diagnosis of Chlamydia trachomatis and Neisseria gonorrhoeae genitourinary infections in males by the Amplicor PCR assay of urine. Diagnostic Microbiology and Infectious Disease 1999;33:141-6.
3. Schachter J. What Is the Minimally Effective Treatment for Chlamydia trachomatis Infection? Sexually Transmitted Diseases 1999;26:279-80.
4. Gaydos CA, Theodore M, Dalesio N, Wood BJ, Quinn TC. Comparison of Three Nucleic Acid Amplification Tests for Detection of Chlamydia trachomatis in Urine Specimens. Journal of Clinical Microbiology 2004;42:3041-5.
5. Gerard HC, Stanich JA, Whittum-Hudson JA, Schumacher HR, Carter JD, Hudson AP. Patients with Chlamydia-associated arthritis have ocular (trachoma), not genital, serovars of C. trachomatis in synovial tissue. Microbial Pathogenesis 2010;48:62-8.
6. Gérard HC, Hudson AP, Carter JD. Chlamydia trachomatis Is Present and Metabolically Active During the Remitting Phase in Synovial Tissues From Patients With Chronic Chlamydia-induced Reactive Arthritis. The American Journal of the Medical Sciences 2013;346:22-5.