Chlamydia Trachomatis

00:01 Now we go into Chlamydia trachomatis.

00:04 What is this? Obligate intracellular bacteria.

00:08 That, you have to know.

00:10 Some will consider this the number one sexually transmitted disease or infection.

00:15 Whatever.

00:15 Point is, it’s up there.

00:17 Nucleic acid amplification testing is now the “gold standard” of diagnosis.

00:24 This is used to detect Chlamydia DNA or RNA sequences in a specimen, such as a vaginal or endocervical swab, or a first-catch urine sample.

00:34 The serotype that you want to know for this particular trachomatis will be D through K.

00:39 May produce cervicitis, often follicular.

00:43 Frequent cause of what’s known as pelvic inflammatory disease.

00:49 When you have as pelvic inflammatory disease, this organism has now moved up into the fallopian tube.

00:56 Uh-oh.

00:57 Inflammation taking place.

00:59 The next step any time after inflammation is going to be process of repair.

01:04 Repair means what to you? Collagen and fibrosis.

01:08 Oh, my goodness. I’m having fibrosis of the fallopian tube, correct? This is not good. For whom? Pregnancy, right? So later on, we’ll talk about pregnancy and abnormal implantation of the egg -- a fertilized egg, mind you – into the fallopian tube, diagnosis, please? Especially if she starts complaining of pain six weeks after her last menstrual period.

01:35 Oh, my goodness.

01:36 And there’s adnexal tenderness.

01:38 Ectopic pregnancy.

01:40 Keep all these in mind as we move forward.

01:42 There’s something else with G&C that I’ll group together.

01:45 It’s called Fitz-Hugh–Curtis, something that shows up quite often from micro, but I’ll talk to you about it when the time is right.