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Mucopurulent Cervicitis


Presentation

  • […] secretions did not show these associations, and the results indicated no difference in genital infections in women with clear cervical secretions whether or not more than 10 polymorphonuclear leucocytes per field (at a magnification of x 1000) were present[ncbi.nlm.nih.gov]
  • However, endocervical mucopus was still present in 18% of the patients in both treatment groups after 2 months and in 23% of the doxycycline group and 33% of the amoxicillin group after 3 months of therapy.[ncbi.nlm.nih.gov]
  • In the present randomized study, Cytobrush was compared with ENT-swabs and with white, cotton-tipped swabs to obtain samples for the diagnosis of chlamydial cervicitis. The women were examined for the presence of mucopurulent cervicitis (MPC).[ncbi.nlm.nih.gov]
  • DIAGNOSIS DIFFERENTIAL DIAGNOSIS • Carcinoma of the cervix • Cervical erosion • Cervical metaplasia WORKUP The patient usually presents with a vaginal discharge or history of postcoital bleeding.[encyclopedia.lubopitko-bg.com]
  • Accordingly, this two-volume comprehensive presentation of infectious diseases involving the male and female reproductive systems promises to be a major contribution in this field and to fill a much-needed vacuum.[books.google.com]
Failure to Thrive
  • Fred Ferri’s popular "5 books in 1" format provides quick guidance on menorrhagia, Failure to Thrive (FTT), Cogan’s syndrome, and much more.[books.google.com]
Vaginal Discharge
  • Vaginal discharge purity according to Schröder was significantly deteriorated in CT-positive patients (p 0.011).[ncbi.nlm.nih.gov]
  • An infected person can have yellow vaginal discharge, spotting with blood, redness of the cervix, pain with intercourse, and burning during urination.[mobieg.co.za]
  • YouR PAtIEnt HAS... ...Vaginal discharge (in the absence of mucopurulent cervical discharge or other signs of cervicitis) Signs and symptoms Note that a diagnosis of mucopurulent cervicitis cannot be made in pregnant women due to normal increase in vaginal[glosbe.com]
  • DIAGNOSIS DIFFERENTIAL DIAGNOSIS • Carcinoma of the cervix • Cervical erosion • Cervical metaplasia WORKUP The patient usually presents with a vaginal discharge or history of postcoital bleeding.[encyclopedia.lubopitko-bg.com]
  • Specimens for microscopy were taken from the endocervix and urethra as well as the vaginal discharge, and bacterial vaginosis was examined for.[diva-portal.org]
Vaginal Bleeding
  • Following are the major recommendations : Introduction Symptoms Asymptomatic in majority Abnormal vaginal discharge in some Post coital and intermenstrual vaginal bleed Case definition An inflammation of the cervical mucosa characterized by two major[speciality.medicaldialogues.in]
  • Findings may include vaginal discharge, vaginal bleeding, and cervical erythema and friability.[msdmanuals.com]
  • Vaginal discharge and vaginal bleeding may occur.[iahealth.net]
Dyspareunia
  • Copious purulent or mucopurulent in vaginal discharge (Fig. 86), pelvic pain, and dyspareunia may be present if cervicitis is severe. The cervix can be erythematous and tender on palpation during bimanual examination.[encyclopedia.lubopitko-bg.com]
  • Cervicitis causes a nondescript discharge with deep dyspareunia Chlamydia may cause a purulent vaginal discharge, post-coital spotting, and deep dyspareunia. Gonorrhea may cause a purulent vaginal discharge and deep dyspareunia.[brooksidepress.org]
  • Some women have dyspareunia, vulvar and/or vaginal irritation, and/or dysuria.[msdmanuals.com]
  • Symptoms Comments/Consideration Vaginal discharge Speculum examination to view cervix, /- bimanual if complaining of pelvic pain or dyspareunia.[stiplus.com.au]
Cervical Motion Tenderness
  • motion tenderness, uterine tenderness or adnexal tenderness.[clinicaltrials.gov]
  • Bimanual pelvic examination: fornicial or cervical motion tenderness suggests PID. Investigations Gram’s stain of endocervical mucus: to document cervicitis and look for presence of GNID.[speciality.medicaldialogues.in]
  • Findings that suggest a specific cause or other disorders include the following: Fever: PID or HSV infection Cervical motion tenderness: PID Vesicles, vulvar or vaginal pain, and/or ulceration: HSV infection Punctate hemorrhages (strawberry spots): Trichomoniasis[msdmanuals.com]
  • Cervicitis may be a sign of an upper genital-tract infection making it important to assess for pelvic inflammatory disease (PID) , particularly in the context of uterine tenderness, adnexal tenderness, or cervical motion tenderness on pelvic exam.[stiplus.com.au]
Postcoital Bleeding
  • DIAGNOSIS DIFFERENTIAL DIAGNOSIS • Carcinoma of the cervix • Cervical erosion • Cervical metaplasia WORKUP The patient usually presents with a vaginal discharge or history of postcoital bleeding.[encyclopedia.lubopitko-bg.com]
  • bleeding 30-40% in STD clinics 8-10% in university student centers over 60% asymptomatic 40-60% no pathogen GROSS: yellow mucopurulent material Cervical Erythema/edema at ectopy w/ bleeding DDX: 1.[quizlet.com]
  • History Part I: Pattern Recognition: Patients with cervicitis may present with abnormal discharge, intermenstrual bleeding or postcoital bleeding.[clinicaladvisor.com]

Workup

  • DIAGNOSIS DIFFERENTIAL DIAGNOSIS • Carcinoma of the cervix • Cervical erosion • Cervical metaplasia WORKUP The patient usually presents with a vaginal discharge or history of postcoital bleeding.[encyclopedia.lubopitko-bg.com]
Mycobacterium Avium Complex
  • avium complex (MAC) 198, 208, 213 Mycobacterium tuberculosis.[glosbe.com]

Treatment

  • C. trachomatis eradication was satisfactory between both treatment regimens; 28 (93.3%) of the 30 women in chlamydia-positive form.[ncbi.nlm.nih.gov]
  • However, endocervical mucopus was still present in 18% of the patients in both treatment groups after 2 months and in 23% of the doxycycline group and 33% of the amoxicillin group after 3 months of therapy.[ncbi.nlm.nih.gov]
  • CONCLUSIONS: Minocycline, 100 mg nightly, was as effective as doxycycline, 100 mg twice daily, each given for 7 days in the treatment of nongonococcal urethritis and mucopurulent cervicitis.[ncbi.nlm.nih.gov]
  • Overall, clarithromycin was clinically safe and effective treatment in patients with nongonococcal urethritis and mucopurulent cervicitis.[ncbi.nlm.nih.gov]
  • Treatment Provide presumptive therapy for cervicitis (not to await the results of diagnostic tests). Treatment for cervical infection (chlamydia and gonorrhea) Tab cefixime 400 mg orally, single dose Plus.[speciality.medicaldialogues.in]

Prognosis

  • Prognosis and Patient Counseling. Women with cervicitis or PID should abstain from sexual intercourse until they have completed antibiotic therapy, their partners have been treated and both the patient and her partner are asymptomatic.[clinicaladvisor.com]

Etiology

  • Abstract The last decade has produced considerable advances in the diagnosis of the common etiologies of mucopurulent cervicitis (MPC), including Chlamydia trachomatis and Neisseria gonorrhoeae, and in the delineation of key aspects of their pathogenesis[ncbi.nlm.nih.gov]
  • If Trichomonas is the etiologic agent, treat with metronidazole 2-g single dose. For herpes, treat with acyclovir 200 mg PO five times daily for 7 days. DISPOSITION Cervicitis responds well to antibiotics.[encyclopedia.lubopitko-bg.com]
  • Microbial etiology of cervicitis to be delineated (indicated in patients with recurrent or persistent cervicitis) as per relevance in a given clinical situation, any of the following tests may be done. o isolation of C. Trachomatis o culture for N.[speciality.medicaldialogues.in]
  • It has extended beyond the recognition of Chlamydia trachomatis and Neisseria gonorrhoeae as the prime etiologic suspects.[omicsonline.org]
  • Use Additional Use Additional Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10data.com]

Epidemiology

  • #2 this probably had an epidemiological component to it Chlamydia is by far the MC bacterial cause of cervicitis in women #3 I think I remember reading somewhere that Chlamydia has mucopurulent discharge and Gonorrhea has purulent discharge... #4 I think[forums.studentdoctor.net]
  • Epidemiology of genital chlamydia infections in Austria. In: Stary A Proceedings of the Third Meeting of the European Society for Chlamydia Research in Vienna; 11--14 Sep 1996. Vienna, 1996; p. 385. Herman A, Roach Z, Samra Z.[degruyter.com]
  • SYNONYMS Endocervicitis Ectocervicitis Mucopurulent cervicitis EPIDEMIOLOGY & DEMOGRAPHICS Cervicitis accounts for 22% to 28% of patients presenting with abnormal vaginal discharge, and this affects women only.[encyclopedia.lubopitko-bg.com]
  • This article reviews the epidemiology and clinical presentation of common curable STDs acquired by adolescents and provides information on new diagnostic technologies and treatments for these STDs.[pedsinreview.aappublications.org]
  • […] the polymerase chain reaction , Int J STD AIDS , 1991 , vol. 2 (pg. 261 - 3 ) 22 Association between Mycoplasma genitalium and acute endometritis , Lancet , 2002 , vol. 359 (pg. 765 - 6 ) 23 Nonspecific vaginitis: diagnostic criteria and microbial and epidemiologic[academic.oup.com]
Sex distribution
Age distribution

Prevention

  • How can Mucopurulent cervicitis be prevented? Mucopurulent cervicitis can usually be prevented by not having sex with anyone (abstinence).[studenthealth.cofc.edu]
  • How do I prevent MPC? When you are sexually active, the best way to prevent MPC is to use condoms for oral, vaginal, and anal sex. Don’t have any sexual contact if you or your partner(s) have symptoms or may have been exposed to an STI.[myhealth.alberta.ca]
  • Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets[books.google.com]
  • But no known germ comes from male partners, and treating partners doesn't prevent it. ...Read more See 1 more doctor answer 14 What causes bacterial infections? Any contaminated: Bacteria is present everywhere and some are harmful.[healthtap.com]
  • Understand the latest research in menopause, how to effectively prescribe treatments, and the consideration of using hormones for prevention. A new chapter dedicated to in vitro fertilization keeps you current with today's recent advances.[books.google.com]

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