View source for Genital chlamydia infection

__noTOC__

'''Genital chlamydia infections''' are among the most common sexually transmitted infections of the genitals.
== Etiology ==
The cause of the disease is ''[[Chlamydia trachomatis]]''. It is an intracellular parasitic [[bacteria]], it includes 18 serotypes, of which A–C is the causative agent of [[trachoma]], L 1-3 [[lymphogranuloma venereum]] and D–K are the causative agents of urogenital infections, [[conjunctivitis]] and [[pneumonia]]. 
== Clinical picture ==
[[File:SOA-Chlamydia-trachomatis-male.jpg|thumb|Genital chlamydia infection in a man]]
[[File:SOA-Chlamydia-trachomatis-female.jpg|thumb|Genital chlamydia infection in a woman]]
The incubation period is 10-20 days. 
* In women, it causes mucopurulent cervicitis, urethritis, bartholinitis, proctitis, pelvic inflammatory disease, endometritis. It is often without skin symptomatology. Tubal urethritis, [[ectopic pregnancy]] or cellular atypia on the cervix may occur .
* In men, mucopurulent most often causes urethritis, as well as prostatitis, inflammation of the [[vas deferens]], epididymitis and proctitis. 
*Infection of the newborn during birth occurs when passing through the cervical canal. It manifests as pneumonia from aspiration or purulent conjunctivitis, where there is a risk of complications of trachoma.
Infection is part of [[Reiter's syndrome]]: reactive arthritis, urethritis, conjunctivitis.

== Diagnosis ==
In practice, a smear is made from affected mucous membranes, ejaculate or the first portion of urine. Direct evidence by ligase or polymerase reaction with a sensitivity of up to 98%.

== Differential diagnosis ==
We distinguish other types of urethritis and vulvovaginitis.

== Therapy ==
The drug of first choice is doxycycline, azithromycin. If necessary, erythromycin, clindamycin are used.

== Course and prognosis ==
Early treatment is important, the prognosis is good. Reinfection and chronicity can lead to infertility.
== Links ==
=== External links ===
* [http://mefanet.lfp.cuni.cz/clanky.php?aid=193 Výukový portál LFP UK — Nejčastější kožní onemocnění na genitálu]
=== Related arcticles ===
* Urethritis: 
** [[Gonorrhea]]
** [[Genital chlamydia infection]]
** [[Genital mycoplasma infections|Mycoplasma infections of the genitals]]
* [[Vulvovaginitis]]
* [[Balanitis]]
* [[Phimosis]] | [[Paraphimosis]] | [[Morbus Peyronie|m. Peyronie]]
* [[The importance of chlamydia and mycoplasmas in perinatology]]
=== References ===
* {{Cite
| type = book
| isbn = 978-80-7262-371-6
| surname1 = Štork
| name1 = Jiří
| group = yes
| title = Dermatovenerologie
| edition = 1
| place = Praha
| publisher = Galén, Karolinum
| year = 2008
| range = 502
}}


[[Category:Dermatovenerology]]