cervicitis

頚管炎

　

WordNet

1. inflammation of the uterine cervix
2. inflammation of the mucous lining of the uterine cervix

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/08/03 07:52:23」(JST)

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Cervicitis
Classification and external resources
Specialty	urology
ICD-10	N72
ICD-9-CM	098.15, 099.53, 616.0
DiseasesDB	30734
MedlinePlus	001495
eMedicine	med/323
MeSH	D002575

Cervicitis is inflammation of the uterine cervix. Cervicitis in women has many features in common with urethritis in men and many cases are caused by sexually transmitted infections. Death may occur. Non-infectious causes of cervicitis can include intrauterine devices, contraceptive diaphragms, and allergic reactions to spermicides or latex condoms. The condition is often confused with vaginismus which is a much simpler condition and easily rectified with simple exercises. [1]

Causes

Cervicitis can be caused by any of a number of infections, of which the most common are chlamydia and gonorrhea, with chlamydia accounting for approximately 40% of cases. Trichomonas vaginalis and herpes simplex are less common causes of cervicitis. There is a consistent association of M. genitalium infection and female reproductive tract syndromes. M. genitalium infection is significantly associated with increased risk of cervicitis.

Mucopurulent cervicitis

Mucopurulent cervicitis (MPC) is characterized by a purulent or mucopurulent endocervical exudate visible in the endocervical canal or in an endocervical swab specimen. Some specialists also diagnose MPC on the basis of easily induced cervical bleeding. Although some specialists consider an increased number of polymorphonuclear white blood cells on endocervical Gram stain as being useful in the diagnosis of MPC, this criterion has not been standardized, has a low positive-predictive value (PPV), and is not available in some settings. MPC often is without symptoms, but some women have an abnormal vaginal discharge and vaginal bleeding (e.g., after sexual intercourse). MPC can be caused by Chlamydia trachomatis or Neisseria gonorrhoeae; however, in most cases neither organism can be isolated. MPC can persist despite repeated courses of antimicrobial therapy. Because relapse or reinfection with C. trachomatis or N. gonorrhoeae usually does not occur in persons with persistent cases of MPC, other non-microbiologic determinants (e.g., inflammation in the zone of ectopy) might be involved.

Patients who have MPC should be tested for C. trachomatis and for N. gonorrhoeae with the most sensitive and specific test available. However, MPC is not a sensitive predictor of infection with these organisms; most women who have C. trachomatis or N. gonorrhoeae do not have MPC.

References

External links

• Cervicitis images from the U. of Washington.

UpToDate Contents

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• 1. 急性子宮頚管炎 acute cervicitis
• 2. クラミジア・トラコマティス感染症の臨床症状および診断 clinical manifestations and diagnosis of chlamydia trachomatis infections
• 3. 男性および女性におけるマイコプラズマ・ゲニタリウム感染 mycoplasma genitalium infection in men and women
• 4. 淋菌感染症の診断 diagnosis of gonococcal infections
• 5. 女性における性器クラミジア・トラコマチス感染症 genital chlamydia trachomatis infections in women

English Journal

• A prospective observational study of vulvovagintis in pregnant women in Argentina, with special reference to candidiasis.

• Mucci MJ1, Cuestas ML2, Cervetto MM1, Landaburu MF2, Mujica MT2.
• Mycoses.Mycoses.2016 Mar 2. doi: 10.1111/myc.12490. [Epub ahead of print]
• To evaluate the frequency of yeast, bacteria or protozoa in pregnant women and to correlate the possible associations of these microorganisms and their relationships with vulvovaginitis (VV) and cervicitis. Vaginal specimens were collected and prepared for smears in microscope slides for the evaluat
• PMID 26931504

• US of the Nongravid Cervix with Multimodality Imaging Correlation: Normal Appearance, Pathologic Conditions, and Diagnostic Pitfalls.

• Wildenberg JC1, Yam BL1, Langer JE1, Jones LP1.
• Radiographics : a review publication of the Radiological Society of North America, Inc.Radiographics.2016 Mar-Apr;36(2):596-617. doi: 10.1148/rg.2016150155.
• The adult uterine cervix may exhibit a wide variety of pathologic conditions that include benign entities (eg, cervicitis, hyperplasia, nabothian cysts, cervical polyps, leiomyomas, endometriosis, and congenital abnormalities) as well as malignant lesions, particularly cervical carcinoma. In additio
• PMID 26963464

• Randomized trial of ultrasound-indicated cerclage in singleton women without lower genital tract inflammation.

• Otsuki K1,2, Nakai A1,3, Matsuda Y1,4, Shinozuka N1,5, Kawabata I1,6, Makino Y1,7, Kamei Y1,8, Iwashita M1,9, Okai T1,10.
• The journal of obstetrics and gynaecology research.J Obstet Gynaecol Res.2016 Feb;42(2):148-57. doi: 10.1111/jog.12880. Epub 2015 Dec 3.
• AIM: This is the first report of a randomized trial of cerclage on pure cervical shortening without vaginosis or cervicitis. The objective of our multicenter randomized controlled trial was to assess the benefits of ultrasound-indicated cervical cerclage in the mid-trimester to prevent preterm birth
• PMID 26633738

Japanese Journal

• Antimicrobial efficacies of several antibiotics against uterine cervicitis caused by Mycoplasma genitalium

• TERADA Michinori,IZUMI Koji,OHKI Emiko,YAMAGISHI Yuka,MIKAMO Hiroshige
• Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy 18(3), 313-317, 2012-06-01
• NAID 10030787134

• Frequency of Chlamydia trachomatis in Ureaplasma-positive healthy women attending their first prenatal visit in a community hospital in Sapporo, Japan

• Yamazaki Tomohiro,Matsumoto Megumi,Matsuo Junji,Abe Kiyotaka,Minami Kunihiro,Yamaguchi Hiroyuki
• BMC Infectious Diseases 12(1), 82, 2012-04-02
• … [Background]Although Chlamydia trachomatis is the most commonly reported pathogen that causes urogenital infection such as urethritis or cervicitis, Ureaplasma parvum and Ureaplasma urealyticum, which are commensals in the genital tract, have also now been recognized as contributors to urogenital infection. …
• NAID 120003945386

• 性感染症(STI)に対する予防啓発効果は上がっているか?

• 南 邦弘,野村 靖宏,前田 信彦,菅原 正樹,熊本 悦明
• 日本性感染症学会誌 = Japanese archives of sexually transmitted diseases 22(1), 42-48, 2011-09-12
• NAID 10031164122

Related Links

• Cervicitis - Wikipedia, the free encyclopedia

Cervicitis is inflammation of the uterine cervix. Cervicitis in women has many features in common with urethritis in men and many cases are caused by sexually transmitted infections. Non-infectious causes of cervicitis can include intrauterine ...

Related Pictures

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★リンクテーブル★

リンク元	「頚管炎」「子宮頚部炎」
拡張検索	「gonococcal cervicitis」「uterine cervicitis」

「頚管炎」

　　[★]

英

cervicitis

ラ

cervicitis uteri

同

子宮頚管炎 uterine cervicitis、子宮頸管炎、子宮頸炎、子宮頸部炎、子宮頚炎、子宮頚部炎、頸管炎

関

淋疾

[show details]

頚管炎 : 約 23,500 件
子宮頚管炎 : 約 20,300 件

定義

• 子宮頚部に病原体の感染が起こり発症する

病原体

• 細菌

• 淋菌
• Chlamydia trachomatis：細菌多くなってきている。

• ウイルス
• 原虫
• 真菌

症状

• 帯下の増加

診断

• 子宮頚管分泌物の培養検査、免疫学的検査(蛍光抗体法)、核酸増幅法(クラミジア)

治療

• 病原体に特異的な治療を行う。

「子宮頚部炎」

　　[★]

英

cervicitis

関

trachelitis

「gonococcal cervicitis」

　　[★]

淋菌性子宮頚管炎、淋菌性子宮頸管炎

「uterine cervicitis」

　　[★]

子宮頚炎、子宮頸炎

関

cervicitis