cervicitis
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Etiology
Clinical manifestations
- most women are asymptomatic
- vaginal discharge
- yellow exudate from the endocervical canal
- vaginal mucosa is normal
- inflamed & friable cervic
- vaginal bleeding, especially after sexual intercourse
- dysuria may occur[1]
- whiff test negative
Laboratory
- cervical exudate gram stain
- increased numbers of neutrophils
- Neisseria gonorrhoeae DNA & Chlamydia trachomatis DNA
- vaginal fluid pH = 5 (case presentation)[1]
Management
- ceftriaxone 250 mg IM once & doxycycline 100 mg BID for 7 days for treatment of both chlamydia & primary gonorrhea[1]
- ceftriaxone 250 mg IM once & azithromycin 1 g (single oral dose) if patient unlikely to comply with days of doxycycline[1]
- cefixime 400 mg & doxycycline 100 mg BID for 7 days if ceftriaxone is unavailable
- treat sexual partner
More general terms
Additional terms
References
- ↑ Jump up to: 1.0 1.1 1.2 1.3 1.4 Medical Knowledge Self Assessment Program (MKSAP) 11,16,17,19. American College of Physicians, Philadelphia 1998,2012,2015,2022.
- ↑ Centers for Disease Control and Prevention (CDC) Cephalosporin susceptibility among Neisseria gonorrhoeae isolates - United States, 2000-2010. MMWR Morb Mortal Wkly Rep. 2011 Jul 8;60(26):873-7. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21734634
- ↑ Wilson JF. In the clinic. Vaginitis and cervicitis. Ann Intern Med. 2009 Sep 1;151(5):ITC3-1-ITC3-15 PMID: https://www.ncbi.nlm.nih.gov/pubmed/19721016