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 And not to mention, whenever you take a sample, you’re going to do a G & C smear, aren’t you? G – gonorrhea.

00:26 C – Chlamydia.

00:29 The serotype that you want to know for this particular trachomatis will be D through K.

00:34 May produce cervicitis, often follicular.

00:38 Frequent cause of what’s known as pelvic inflammatory disease.

00:44 When you have as pelvic inflammatory disease, this organism has now moved up into the fallopian tube.

00:51 Uh-oh.

00:52 Inflammation taking place.

00:54 The next step any time after inflammation is going to be process of repair.

00:59 Repair means what to you? Collagen and fibrosis.

01:03 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.

01:30 Oh, my goodness.

01:31 And there’s adnexal tenderness.

01:34 Ectopic pregnancy.

01:35 Keep all these in mind as we move forward.

01:37 There’s something else with G&C that I’ll group together.

01:40 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.