View source for Chlamydia trachomatis

''Not to be confused with [[chlamydophila]], another genus of pathogenic bacteria''

==Background==
*Most frequently reported STD
*Age < 25 most prevalent group
*Asymptomatic in > 50% of infected individuals 

==Clinical Features==
#Vaginal discharge
#Intermenstrual bleeding
#[[Urethritis]]
#[[Epididymitis]]
#[[Proctitis]]
#Reiter syndrome (urethritis, conjuctivitis, rash)

==Complications==
#[[Pelvic Inflammatory Disease|PID]]
#[[Ectopic Pregnancy]]
#Infertility

==Differential Diagnosis==
*[[Neisseria Gonorrhoeae|Gonorrhoea]]

==Workup==
#Urine pregnancy
#Speculum exam
#Endocervical or urethral swab

==Treatment==
*Azithromycin 1g PO x 1  OR
*Doxycycline 100mg PO BID x 7 days

==Disposition==
*Avoid sex for 7 days to prevent transmission
*Partners in the previous 60 days should all be notified/tested/treated
*Rescreen in 3 months anyone who tested positive for Chlamydia

==See Also==
*[[STDs]]
*[[Proctitis]]
*[[Lymphogranuloma venereum]] (for L1, L2, and L3 serovars)

==Sources==
Tintinalli
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[[Category:ID]]
[[Category:GU]]