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Cervicitis

Cervicitides


Presentation

  • In difficult cases, definitive diagnosis should be based on clinical presentation and cervical biopsy.[ncbi.nlm.nih.gov]
  • Amoebiasis of the uterine cervix is an extremely rare entity, and presentation as fibroid uterus has not been reported, to the best of our knowledge in our extensive search of the English literature.[ncbi.nlm.nih.gov]
  • Fulminant cases of chronic cervicitis, presenting with clinical features similar to cervical cancer, are unusual.[ncbi.nlm.nih.gov]
  • Cytomegalovirus (CMV) infection in immunocompetent hosts is generally asymptomatic or may present as a mononucleosic syndrome. Its association with acute cervicitis and vulvovaginitis has rarely been reported.[ncbi.nlm.nih.gov]
  • This case report contributes to an awareness of a rare lesion of the head and neck that presents clinical and treatment challenges for surgeons managing these patients.[ncbi.nlm.nih.gov]
Pathologist
  • Participant type was significantly associated with false-positive interpretations (laboratory: 19.2%; cytotechnologist: 11.1%; pathologist: 7.9%; P .001).[ncbi.nlm.nih.gov]
  • Although the cases reported here represent rare events, pathologists should be aware that syphilitic cervicitis may clinically and colposcopically simulate a primary advanced cervical cancer.[ncbi.nlm.nih.gov]
  • The pathologist examines the biopsy under a microscope.[dovemed.com]
  • When the pap smear is sent to the lab, the pathologist designates a diagnosis to the smear. The system currently used in the United States is known as the “Bethesda” system. No Pathologic Change.[thepremenstrualproblem.wordpress.com]
Localized Pain
  • Abstract Fibrosing mediastinitis and sclerosing cervicitis are fibrosclerotic disorders akin to retroperitoneal fibrosis, with presenting symptoms related to local pain or viscus obstruction or both. No definitive treatment is known.[ncbi.nlm.nih.gov]
Prostitute
  • 534 - 43 ) 59 Vaginal douching as a risk factor for cervical Chlamydia trachomatis infection , Obstet Gynecol , 1998 , vol. 91 (pg. 993 - 7 ) 60 Efficacy of nonoxynol 9 contraceptive sponge use in preventing heterosexual acquisition of HIV in Nairobi prostitutes[dx.doi.org]
Tachypnea
  • Infant Pneumonia Caused by C. trachomatis Characteristic signs of chlamydial pneumonia in infants include a) a repetitive staccato cough with tachypnea and b) hyperinflation and bilateral diffuse infiltrates on a chest radiograph.[web.archive.org]
  • Infant Pneumonia Caused by C. trachomatis Characteristic signs of chlamydial pneumonia in infants include 1) a repetitive staccato cough with tachypnea and 2) hyperinflation and bilateral diffuse infiltrates on a chest radiograph.[cdc.gov]
Hypertrophic Pyloric Stenosis
  • Recommended Regimen Erythromycin base or ethylsuccinate 50 mg/kg/day orally divided into four doses daily for 14 days. ( NOTE: An association between oral erythromycin and infantile hypertrophic pyloric stenosis (IHPS) has been reported in infants aged[web.archive.org]
  • . ¶¶ An association between oral erythromycin and infantile hypertrophic pyloric stenosis has been reported in infants aged *** Data on use of other macrolides (e.g., azithromycin and clarithromycin) for the treatment of neonatal chlamydia infection are[cdc.gov]
Chancre
  • The patient was eventually appropriately treated for a syphilitic chancre of the cervix.[ncbi.nlm.nih.gov]
  • ., ulcer or chancre at the infection site), secondary infection (i.e., manifestations that include, but are not limited to, skin rash, mucocutaneous lesions, and lymphadenopathy), or tertiary infection (e.g., cardiac or ophthalmic manifestations, auditory[cdc.gov]
Agalactia
  • Various case reports have attributed the presence of cervicitis in individual women to infection with certain Streptococcus species [ 55 , 56–57 ]—most notably, S. agalactiae (group B streptococcus) and S. pyogenes.[dx.doi.org]
  • ., anaerobes, G. vaginalis, Haemophilus influenzae, enteric Gram-negative rods, and Streptococcus agalactiae ) also have been associated with PID.[cdc.gov]
Pelvic Pain
  • A 24-year-old woman presented with pelvic pain, vulvodynia, abnormal vaginal discharge, burning with urination, fatigue, fever, vomiting and diarrhoea. The vulva and cervix were red with vesicular lesions on the cervix.[ncbi.nlm.nih.gov]
  • Patients' symptoms were relieved significantly by ultrasound therapy, including 88.9% patients who had abundant leukorrhea, 80% who had pelvic pain and 87.5% who had postcoital bleeding.[ncbi.nlm.nih.gov]
  • Within all the people who go to their doctor with cervicitis, 73% report having sharp abdominal pain, 70% report having vaginal discharge, and 46% report having pelvic pain.[symcat.com]
  • Symptoms may include purulent discharge, pelvic pain, bleeding between periods or after sexual intercourse, or urinary problems.[hopkinsmedicine.org]
  • These are the most common symptoms of cervicitis: Discharge that contains pus Pelvic pain Bleeding between periods or after sex Urinary problems Infections within the vagina are easily passed to the cervix.[urmc.rochester.edu]
Chancroid
  • […] primarily among black women: 48%). [14] International occurrence Worldwide, 448 million adults (ages 15-49 y) become infected with a curable STI (trichomoniasis, chlamydia, syphilis, or gonorrhea) every year. [15] Other STIs are caused by various bacterial (chancroid[emedicine.com]
Chronic Pelvic Pain Syndrome
  • Providers should be alert to the possible diagnosis of chronic prostatitis/chronic pelvic pain syndrome in men experiencing persistent perineal, penile, or pelvic pain or discomfort, voiding symptoms, pain during or after ejaculation, or new-onset premature[cdc.gov]
  • Approximately 50% of men with chronic nonbacterial prostatitis/chronic pelvic pain syndrome have evidence of urethral inflammation without any identifiable microbial pathogens.[cdc.gov]
Metrorrhagia
  • The symptoms include leukorrhea, low back pain, hypogastric pain, dyspareunia, dysmenorrhea, dysuria, urinary frequency and urgency, metrorrhagia, and cer-vical dystocia.[generalhealthtopics.com]

Workup

Entamoeba Histolytica
  • Protozoa identified as Entamoeba histolytica were found in a routine Papanicolaou smear and in the cervical biopsy of a young woman following the initial diagnosis of cervical cancer and the institution of a radiation therapy regimen.[ncbi.nlm.nih.gov]
  • We present a case of amoebic infection of the cervix in a 45-year-old female which was suspected to be a posterior wall fibroid with degeneration until a histopathological examination of the surgical specimen revealed the presence of Entamoeba histolytica[ncbi.nlm.nih.gov]
  • ., Entamoeba histolytica, and, rarely, LGV serovars of C. trachomatis. CMV or other opportunistic agents might be involved in immunosuppressed HIV-infected patients.[cdc.gov]
Lymphocytic Infiltrate
  • METHOD OF STUDY: Immune markers on lymphocytic infiltrates in HPV-positive cervicitis, cervical intraepithelial neoplasia III (CIN III), squamous cell carcinoma (SCC) and normal cervices were characterized immunohistochemically.[ncbi.nlm.nih.gov]

Treatment

  • […] unlikely to return for treatment.[web.archive.org]
  • Empiric treatment did not reduce vaginal symptoms at follow-up in either group. No effect of empiric partner treatment was seen.[ncbi.nlm.nih.gov]
  • If the results demonstrate infection with these pathogens, the appropriate treatment should be given and sex partners referred for evaluation and treatment.[cdc.gov]
  • BACKGROUND: Cervicitis is widespread, but no studies have examined cervicitis in accordance with established guidelines for diagnosis and treatment.[ncbi.nlm.nih.gov]
  • A number of treatment options have been tried by our patient and other cases in the literature.[ncbi.nlm.nih.gov]

Prognosis

  • Prognosis of Chronic Cervicitis The prognosis of Chronic Cervicitis is good with treatment and this condition usually resolves after the cause is identified and treated properly.[epainassist.com]
  • The prognosis of Chronic Cervicitis with adequate treatment is generally good.[dovemed.com]
  • Prognosis Mild chronic cervicitis usually responds to local therapy in 4-8 weeks; more severe chronic cervicitis may require 2-3 months of treatment.[generalhealthtopics.com]
  • Presentation Symptoms vaginal discharge pelvic pain erythematous cervical os Physical exam pain on palpation friability when obtaining sample for culture Evaluation DNA probe detects Chlamydia and N. gonorrhoeae Wet mount detects T. vaginalis Pap smear Prognosis[step1.medbullets.com]
  • Prognosis Mild cervicitis may require no treatment. Acute cervictis caused by venereal disease is transmitted through sexual intercourse and is curable with appropriate treatment. Most other cases of cervicitis can be cured with treatment.[rxmed.com]

Etiology

  • Trichomonas vaginalis and herpes simplex virus cause cervicitis, and both Mycoplasma genitalium and bacterial vaginosis have emerged as new candidate etiologic agents or conditions.[ncbi.nlm.nih.gov]
  • We sought to describe the prevalence and etiologies of cervicitis in this population.[ncbi.nlm.nih.gov]
  • Etiology Several organisms can cause infectious urethritis.[cdc.gov]
  • Although cervicitis can be caused by several known pathogens, the etiology frequently remains obscure. Here we investigate vaginal bacteria associated with bacterial vaginosis as potential causes of cervicitis.[ncbi.nlm.nih.gov]

Epidemiology

  • The epidemiological study revealed that acute cervicitis are predominant 7(5.9%) and 2(1.7%) are chronic cervicitis.[ncbi.nlm.nih.gov]
  • […] endometritis, salpingitis, pelvic inflammatory disease (PID) or chorioamnionitis Infectious causes include gonococci, Chlamydia, Mycoplasma, HSV Terminology Also called lymphofollicular cervicitis, follicular cervicitis, chronic lymphocytic cervicitis Epidemiology[pathologyoutlines.com]
  • CERVICITIS DIAGNOSIS EPIDEMIOLOGY (CLINICAL) CONDOMS M GENITALIUM Statistics from Altmetric.com Request Permissions If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink[sti.bmj.com]
  • Epidemiology Incidence Cervicitis: most commonly due to infectious etiologies, including, but not limited to, the following: Chlamydia: 1.7 million cases were reported to the CDC in 2017, with actual incidence estimated to be 3 million yearly.[unboundmedicine.com]
  • Cytopathological Examination and Epidemiological Study of Cervicitis in Commercial Sex Workers (Csws) in Coal City (Enugu), Nigeria. Ethiopian Journal Of Health Sciences [serial online]. July 2015;25(3):225-230.[physio-pedia.com]
Sex distribution
Age distribution

Pathophysiology

  • Prevalence Present in 14–37% of outpatients ( 3 ) Etiology and Pathophysiology Cervicitis: Often, no specific etiology is identified.[unboundmedicine.com]
  • Welcome to PT 635 Pathophysiology of Complex Patient Problems This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY.[physio-pedia.com]
  • Pathophysiology: Because the female genital tract is contiguous from the vulva to the fallopian tubes, there is some overlap between vulvo-vaginitis and cervicitis.[csh.org.tw]

Prevention

  • Occurrence in the United States The Centers for Disease Control and Prevention (CDC) estimates that over 19 million new sexually transmitted infections (STIs) occur annually, almost half of them among persons aged 15-24 years. [8] In addition to potentially[emedicine.com]
  • However, ocular prophylaxis with those agents does prevent gonococcal ophthalmia and therefore should be continued (see Prevention of Ophthalmia Neonatorum).[web.archive.org]

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