gonococcal cervicitis

淋菌性子宮頚管炎、淋菌性子宮頸管炎

WordNet

1. inflammation of the uterine cervix

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2017/09/08 22:55:36」(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. As many half of pregnant women are asymptomatic with a gonorrhea infection of the cervix. 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.

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. 成人および思春期における淋菌感染症の臨床症状および診断 clinical manifestations and diagnosis of neisseria gonorrhoeae infection in adults and adolescents
• 3. 合併症のない淋菌感染の治療 treatment of uncomplicated gonococcal infections
• 4. 播種性淋菌感染 disseminated gonococcal infection
• 5. 性感染症のスクリーニング screening for sexually transmitted infections

English Journal

• Prevention and control of sexually transmissible infections among hotel-based female sex workers in Dhaka, Bangladesh.

• McCormick DF, Rahman M, Zadrozny S, Alam A, Ashraf L, Neilsen GA, Kelly R, Menezes P, Miller WC, Hoffman IF.Author information University of North Carolina, Department of Medicine, Chapel Hill, NC 27517, USA.AbstractBACKGROUND: Hotel-based sex workers in Bangladesh have high rates of sexually transmissible infections (STIs), high client turnover and low condom use. Two monthly clinic-based strategies were compared: periodic presumptive treatment (PPT) and enhanced syndromic management (ESM) - one round of presumptive treatment followed by treatment based on assessment and laboratory tests.
• Sexual health.Sex Health.2013 Dec;10(6):478-86. doi: 10.1071/SH12165.
• BACKGROUND: Hotel-based sex workers in Bangladesh have high rates of sexually transmissible infections (STIs), high client turnover and low condom use. Two monthly clinic-based strategies were compared: periodic presumptive treatment (PPT) and enhanced syndromic management (ESM) - one round of presu
• PMID 24262217

• Strategies for partner notification for sexually transmitted infections, including HIV.

• Ferreira A, Young T, Mathews C, Zunza M, Low N.Author information Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.AbstractBACKGROUND: Partner notification (PN) is the process whereby sexual partners of an index patient are informed of their exposure to a sexually transmitted infection (STI) and the need to obtain treatment. For the person (index patient) with a curable STI, PN aims to eradicate infection and prevent re-infection. For sexual partners, PN aims to identify and treat undiagnosed STIs. At the level of sexual networks and populations, the aim of PN is to interrupt chains of STI transmission. For people with viral STI, PN aims to identify undiagnosed infections, which can facilitate access for their sexual partners to treatment and help prevent transmission.
• The Cochrane database of systematic reviews.Cochrane Database Syst Rev.2013 Oct 3;10:CD002843. doi: 10.1002/14651858.CD002843.pub2.
• BACKGROUND: Partner notification (PN) is the process whereby sexual partners of an index patient are informed of their exposure to a sexually transmitted infection (STI) and the need to obtain treatment. For the person (index patient) with a curable STI, PN aims to eradicate infection and prevent re
• PMID 24092529

• Development of a multilocus sequence typing scheme for Ureaplasma.

• Zhang J, Kong Y, Feng Y, Huang J, Song T, Ruan Z, Song J, Jiang Y, Yu Y, Xie X.Author information Clinical Laboratory, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, 310016, China.AbstractUreaplasma is a commensal of the human urogenital tract but is always associated with invasive diseases such as non-gonococcal urethritis and infertility adverse pregnancy outcomes. To better understand the molecular epidemiology and population structure of Ureaplasma, a multilocus sequence typing (MLST) scheme based on four housekeeping genes (ftsH, rpL22, valS, thrS) was developed and validated using 283 isolates, including 14 serovars of reference strains and 269 strains obtained from clinical patients. A total of 99 sequence types (STs) were revealed: the 14 type strains of the Ureaplasma serovars were assigned to 12 STs, and 87 novel and special STs appeared among the clinical isolates. ST1 and ST22 were the predominant STs, which contained 68 and 70 isolates, respectively. Two clonal lineages (CC1 and CC2) were shown by eBURST analysis, and linkage disequilibrium was revealed through a standardized index of association (I A S). The neighbor-joining tree results of 14 Ureaplasma serovars showed two genetically significantly distant clusters, which was highly congruent with the species taxonomy of ureaplasmas [Ureaplasma parvum (UPA) and Ureaplasma urealyticum (UUR)]. Analysis of the biotypes of 269 clinical isolates revealed that all the isolates of CC1 were UPA and those of CC2 were UUR. Additionally, CC2 was found more often in symptomatic patients with vaginitis, tubal obstruction, and cervicitis. In conclusion, this MLST scheme is adequate for investigations of molecular epidemiology and population structure with highly discriminating capacity.
• European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology.Eur J Clin Microbiol Infect Dis.2013 Sep 27. [Epub ahead of print]
• Ureaplasma is a commensal of the human urogenital tract but is always associated with invasive diseases such as non-gonococcal urethritis and infertility adverse pregnancy outcomes. To better understand the molecular epidemiology and population structure of Ureaplasma, a multilocus sequence typing (
• PMID 24072679

Japanese Journal

• 非クラミジア性非淋菌性子宮頸管炎58例の検討 : Ureaplasma urealyticum、 Mycoplasma hominis のひろがり

• 酒井 英二
• 日本性感染症学会誌 = Japanese archives of sexually transmitted diseases 20(1), 154-161, 2009-07-10
• NAID 10027048615

• 非淋菌性尿道炎および子宮頸管炎に対する Gatifloxacin 400mgの治療効果

• 村谷 哲郎,西村 敬史,高橋 康一,安藤 由起子,西 昇平,佐藤 由美子,川井 修一,倉島 雅子,山田 陽司,松本 哲朗
• 日本性感染症学会誌 = Japanese archives of sexually transmitted diseases 16(1), 57-64, 2005-06-30
• NAID 10020414581

• 男子淋菌性尿道炎・淋菌性子宮頸管炎に対する pazufloxacin の基礎的・臨床的検討

• 松本 哲朗,田中 正利,佐久本 操,熊澤 淨一,鷺山 和幸,山口 秋人,岩川 愛一郎,上野 陽一郎,糸井 達典,原 三信,占部 治邦,中山 宏,宮崎 良春,長藤 達生,加野 資典,南里 和成,中尾 偕主,斎藤 功,宮村 隆三,浜屋 修,国沢 義隆,石田 仁男,河村 毅,岡崎 武二郎,松田 静治,永山 在明
• 西日本泌尿器科 58(4), 443-458, 1996-04-20
• NAID 10019082092

Related Links

• Gonococcal Cervicitis: A Role for Biofilm in Pathogenesis

To substantiate further the role played by membrane formation in gonococcal biofilms, we studied the ability of a N. gonorrhoeae mutant, strain 1291-msbB, to form biofilms in vitro. Other studies with meningococci have shown that ...

• Gonococcal cervicitis | Online references | cyclopaedia.net

Cervicitis 08.11.2012 · In women with Gonococcal cervicitis, the cervix may show mucopurulent or purulent cervical discharge and easily induced cervical ... gonococcal cervicitis - HealthMash Gonococcal cervicitis information from ...

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gonococcal cervicitis

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淋菌性子宮頸管炎

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gonococcal cervicitis

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淋菌性子宮頚管炎