Book contents
- Frontmatter
- Dedication
- Contents
- List of Contributors
- Preface
- Part I Clinical syndromes: general
- Part II Clinical syndromes: head and neck
- Part III Clinical syndromes: eye
- Part IV Clinical syndromes: skin and lymph nodes
- Part V Clinical syndromes: respiratory tract
- Part VI Clinical syndromes: heart and blood vessels
- Part VII Clinical syndromes: gastrointestinal tract, liver, and abdomen
- Part VIII Clinical syndromes: genitourinary tract
- 59 Urethritis and dysuria
- 60 Vaginitis and cervicitis
- 61 Epididymo-orchitis
- 62 Genital ulcer adenopathy syndrome
- 63 Prostatitis
- 64 Pelvic inflammatory disease
- 65 Urinary tract infection
- 66 Candiduria
- 67 Focal renal infections and papillary necrosis
- Part IX Clinical syndromes: musculoskeletal system
- Part X Clinical syndromes: neurologic system
- Part XI The susceptible host
- Part XII HIV
- Part XIII Nosocomial infection
- Part XIV Infections related to surgery and trauma
- Part XV Prevention of infection
- Part XVI Travel and recreation
- Part XVII Bioterrorism
- Part XVIII Specific organisms: bacteria
- Part XIX Specific organisms: spirochetes
- Part XX Specific organisms: Mycoplasma and Chlamydia
- Part XXI Specific organisms: Rickettsia, Ehrlichia, and Anaplasma
- Part XXII Specific organisms: fungi
- Part XXIII Specific organisms: viruses
- Part XXIV Specific organisms: parasites
- Part XXV Antimicrobial therapy: general considerations
- Index
- References
60 - Vaginitis and cervicitis
from Part VIII - Clinical syndromes: genitourinary tract
Published online by Cambridge University Press: 05 April 2015
- Frontmatter
- Dedication
- Contents
- List of Contributors
- Preface
- Part I Clinical syndromes: general
- Part II Clinical syndromes: head and neck
- Part III Clinical syndromes: eye
- Part IV Clinical syndromes: skin and lymph nodes
- Part V Clinical syndromes: respiratory tract
- Part VI Clinical syndromes: heart and blood vessels
- Part VII Clinical syndromes: gastrointestinal tract, liver, and abdomen
- Part VIII Clinical syndromes: genitourinary tract
- 59 Urethritis and dysuria
- 60 Vaginitis and cervicitis
- 61 Epididymo-orchitis
- 62 Genital ulcer adenopathy syndrome
- 63 Prostatitis
- 64 Pelvic inflammatory disease
- 65 Urinary tract infection
- 66 Candiduria
- 67 Focal renal infections and papillary necrosis
- Part IX Clinical syndromes: musculoskeletal system
- Part X Clinical syndromes: neurologic system
- Part XI The susceptible host
- Part XII HIV
- Part XIII Nosocomial infection
- Part XIV Infections related to surgery and trauma
- Part XV Prevention of infection
- Part XVI Travel and recreation
- Part XVII Bioterrorism
- Part XVIII Specific organisms: bacteria
- Part XIX Specific organisms: spirochetes
- Part XX Specific organisms: Mycoplasma and Chlamydia
- Part XXI Specific organisms: Rickettsia, Ehrlichia, and Anaplasma
- Part XXII Specific organisms: fungi
- Part XXIII Specific organisms: viruses
- Part XXIV Specific organisms: parasites
- Part XXV Antimicrobial therapy: general considerations
- Index
- References
Summary
Introduction
Vaginitis and cervicitis are undoubtedly linked in many instances, to some degree. When considering cervicitis as a discrete entity, the most common causes are infections due to Chlamydia trachomatis and Neisseria gonorrheae. Other causes of cervicitis are human papillomavirus (HPV) and infrequently considered are herpes simplex virus (HSV), Mycoplasma, and Ureaplasma. The two latter bacteria are commonly found colonizing the lower genital tract in sexually active women and their role in the disease of female pelvic organs is not well understood. However, recent data have implicated the mycoplasmas and ureaplasmas in both obstetric and gynecologic pelvic infections. Other causes of cervicitis have been documented throughout the world, e.g., Mycobacterium tuberculosis, Schistosoma haematobium, Epstein–Barr virus, amoebiasis, and cytomegalovirus, but are uncommon in the United States. However, when taking a history it is important to determine if there has been recent travel outside the United States, especially to parts of the world where these diseases are prevalent. The patient's past travel experience or her sexual partner's travel experience are important when evaluating the patient with vaginitis and cervicitis. The patient's travel experience can be significant when administering empirical antimicrobial treatment, especially when treating suspected gonococcal cervicitis. N. gonorrhoeae acquired from Asia tends to be resistant to the antibiotics commonly administered in the United States to treat gonococcal infection. Therefore, all patients being evaluated for vaginitis should be evaluated for the coexistence of cervicitis.
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- Chapter
- Information
- Clinical Infectious Disease , pp. 392 - 400Publisher: Cambridge University PressPrint publication year: 2015