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Diseases caused by Chlamydia trachomatis

  • Diseases caused by Chlamydia trachomatis

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    Trachoma. Chronic keratoconjunctivitis, begins with acute inflammatory changes in the conjunctiva and the cornea and leads to scarring and blindness.

    In conjunctival scrapings, the fluorescence method determines chlamydia Ar in epithelial cells. More often they are found in the early stages of the disease in the upper part of the conjunctiva.

    Urogenital chlamydia and conjunctivitis. The frequency of detection of chlamydia in men with non-gonococcal urethritis is 30-50%.Infection of women with the first pregnancy reaches 5-20%, making abortion - 3-18%.Among patients with signs of cervicitis, chlamydial infection is detected in 20-40% of cases;salpingitis - in 20-70% of cases;urinary tract infection - in 5-10% of cases.

    Fitz-Hugh-Curtis syndrome is also attributed to early complications of chlamydia infection, it is an acute peritonitis and perige -patitis, accompanied by ascites.

    Respiratory tract infections caused by Chlamydia. In adults with chlamydial conjunctivitis, the symptoms of upper respiratory tract infection( pharyngitis, rhinitis, otitis, etc.) often appear, apparently developing as a result of the spread of chlamydial infection through the nasopharyngeal canal. Pneumonia in adults usually does not develop. In newborns infected from mothers, after 2-12 weeks after childbirth, the respiratory system may be affected, up to pneumonia.

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    Reuter's Syndrome( disease) For Reiter's Syndrome.typical of the classical triad: urethritis, conjunctivitis and arthritis. This syndrome of chlamydia can be detected in the synovial fluid. An increase in the titer of AT classes IgA, IgM and IgG during the development of active infection of joints is noted.

    Endocarditis. Clinically proceed lightning fast, with significant damage to the valves of the aorta.

    Latent infection can manifest spontaneously in the form of a low-symptom complication. More than half of the patients have signs of chronic prostatitis and / or sakroileitis.

    Currently, methods for detecting chlamydia trachomatis in the test material( ELISA, fluorescent AT, PCR) are used to diagnose chlamydial infection. Determination of blood serum AT titer for Chlamydia trachomatis is an auxiliary method for diagnosis of chlamydia.