DrVirgo
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Can a male with Gonorrhea or Chlamydia urethritis transmit the bacteria to a female to cause a UTI in her?
-I think its asking if G and C cause UTI in females also...
this was a question someone told me.
Thanks.
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| surfdog97
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YES!
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| surfdog97
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Chlamydia trachomatis definitely causes non-gonococcal urethritis (First AID 2006 page 144) so I am assuming if there is a NON-gonococcal urethritis, there must be a gonoccoccal one...
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| DrVirgo
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I agree about non-gonococcal urethritis, but I think FA is talking about MEN ONLY... I was asking specifically for women...
In women, E.coli is the most common pathogen involved w/ UTI's... (close proximity of anus to urethra, and shorter urethra), etc...
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| DrVirgo
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So can G and C also cause urethritis in females by transmission through sexual intercourse from a man?
-As I have read before, UTI's are "sexually associated" and NOT "sexually transmitted"
Thanks.
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| Cedrick
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Interesting subject
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| surfdog97
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Ok I misread the question. I think the trick to this question is that yes N. Gonorrheae and Chlamydia can be TRANSMITTED to the woman, but the trick is understanding that these bugs cause URETHRITIS but that urethritis in women falls under the umbrella of Urinary tract infections...so I would say yes that this answer to this question is true. What do you think?
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| DrVirgo
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Agree... I think when G and C are sexually transmitted, they cause the STD in women...
eg. Gon causes endocervicitis, PID,
and chlamydia can cause cervicitis, PID...
-Non-gonococcal urethritis is ONLY or MOSTLY in men and probably rare in women (my guess)... what do you think?
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| DrVirgo
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here is some more useful info:
Nongonococcal urethritis and chlamydial cervicitis are sexually transmitted diseases caused by the bacterium Chlamydia trachomatis and various other microorganisms that produce inflammation of the urethra and cervix.
Several different microorganisms cause diseases that resemble gonorrhea. These microorganisms include Chlamydia trachomatis, Trichomonas vaginalis, and several different types of Mycoplasma. In the past, these microorganisms were hard for laboratories to identify, so the infections they caused were simply called "nongonococcal" to indicate that they were not caused by Neisseria gonorrhoeae, the bacterium that causes gonorrhea.
Chlamydia trachomatis infection (chlamydia) is very common, with 659,000 reported cases in the United States in 1999. Because the infection sometimes produces no symptoms, even more people may be affected. In men, chlamydia causes about half of the urethral infections not caused by gonorrhea. Most of the remaining male urethral infections are caused by Ureaplasma urealyticum. In women, chlamydia accounts for virtually all of the pus-forming cervical infections not caused by gonorrhea. Both sexes may acquire gonorrhea and chlamydia at the same time.
Symptoms and Diagnosis
Between 4 and 28 days after intercourse with an infected person, an infected man typically has a mild burning sensation in his urethra while urinating. A clear or cloudy discharge from the penis may be evident. The discharge is usually less thick than the discharge that occurs in gonorrhea. Early in the morning, the opening of the penis is often red and stuck together with dried secretions. Occasionally, the disease begins more dramatically. The man needs to urinate frequently, finds urinating painful, and has discharge of pus from the urethra.
Although most women infected with Chlamydia have few or no symptoms, some experience frequent urges to urinate and pain while urinating, pain in the lower abdomen, pain during sexual intercourse, and secretions of yellow mucus and pus from the vagina.
Anal infections may cause pain and a yellow discharge of pus and mucus.
In most cases, a doctor can diagnose chlamydia by examining discharge from the penis or cervix in a laboratory. Newer tests that amplify DNA or RNA, such as the polymerase chain reaction (PCR), enable a doctor to diagnose chlamydia or gonorrhea from a urine sample. These tests are recommended for screening of sexually active women between the ages of 15 and 25. Genital infections with Ureaplasma and Mycoplasma are not diagnosed specifically in routine medical settings, because culturing of these microorganisms is difficult and other techniques for diagnosis are expensive. The diagnosis of nongonococcal infections is often presumed if the person has characteristic symptoms and no evidence of gonorrhea.
If chlamydia is not treated, symptoms usually disappear in 4 weeks. However, an untreated infection can cause a number of complications. Untreated chlamydial cervicitis often ascends to the fallopian tubes (tubes that connect the ovaries to the uterus), where inflammation may cause pain and scarring. The scarring can cause infertility and ectopic pregnancy (see Ectopic Pregnancy: A Mislocated Pregnancy ). These complications can occur in women without symptoms and result in considerable suffering and medical costs. In men, chlamydia may cause epididymitis, which produces painful swelling of the scrotum on one or both sides (see Penile and Testicular Disorders: Epididymitis and Epididymo-orchitis). Whether Ureaplasma has a role in these complications is unclear.
Complications of Chlamydial and Ureaplasmal Infections
In men
Infection of the epididymisNarrowing (stricture) of the urethra In women
Infection of the fallopian tubes and linings of the pelvic cavityInfection of the surface of the liver In men and women
Infection of the membranes of the eyes (conjunctivitis) In newborns
ConjunctivitisPneumonia
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| surfdog97
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Wow thanks for that information, that was great! Ok so yes I think we have agreed that men with these infxns can cause the UTI's in women...also in BRS pathology under the female repro section there is a sentence that says gonorrhea causes bacterial infection and inflammation of the female urethra...
Hey I have been reading a lot of you and RObin's posts and was hoping you still had a list of either the NBME 1 or 2 (or both) answers...I took both tests but haven't been able to find a good post on the answers like there were for 3 and 4, do you happen to have any of these saved?
Any help would be greatly appreciated. Thanks so much!
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| DrVirgo
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From Emedicine about UTI's:"
Sex: The natural history of UTI varies with sex and age.
- Of neonates, boys are slightly more likely than girls to present with UTI as part of a gram-negative sepsis syndrome. The incidence in preschool children is approximately 2% and is 10 times more common in girls. Five percent of school-aged girls experience UTI. It is rare in school-aged boys.
- The largest group of patients with UTI is adult women. The incidence increases with age and sexual activity. Rates of infection are high in postmenopausal women because of bladder or uterine prolapse causing incomplete bladder emptying; loss of estrogen with attendant changes in vaginal flora; loss of lactobacilli, which allows periurethral colonization with gram-negative aerobes, such as E coli; and higher likelihood of concomitant medical illness, such as diabetes.
- UTI is unusual in males younger than 50 years, and symptoms of dysuria and frequency are usually due to urethral or prostatic infection. In older men, however, the incidence of UTI rises because of prostatic obstruction or subsequent instrumentation.
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| DrVirgo
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In BRS, does it say anything about percentages regarding g and c causing urethritis in males vs females???
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| surfdog97
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No it doesnt unfortunately...
Here is one other question, relating to E. Coli infections, when you have hypotension induced by E.coli, is it the Lipid A or the capsular polysaccharide causing the induced hypotension?
Also let me know about the NBME's thanks!!!
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