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.
The lecture Chlamydia Trachomatis by Carlo Raj, MD is from the course Sexually Transmitted Diseases (STDs).
Which of the following statements about Chlamydia trachomatis is TRUE?
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