Case 1

A 20-year-old male college student presents with the main complaints of dysuria and urethral discharge. He denies a history of fever, chills, nausea, or abdominal pain. He has never had a urinary tract infection. He had Neisseria gonorrhea treated 6 months ago with an unknown antibiotic. He has no significant past medical history.

The only remarkable findings on the physical examination are urethral meatus erythema, a small amount of urethral discharge with milking, but no epididymal. tenderness.

Urethral swabs are obtained. Grain stain of expressible discharge reveals polymorphonuclear leukocytes without any identifiable Gram-negative cocci. Cultures are sent.

Questions

1. What is urethritis?  Answer

2. What are the major causes of urethritis?   Answer

3. Can gonococcal infection be excluded on the basis of the information presented?   Answer

4. Define nongonococcal  urethritis.  Answer 

5. Define postgonoccccal urethritis.   Answer

6. Describe the general characteristics of Chlamydia species  Answer

7. Name the three species of Chlamydia species  Answer

8. Describe the reproduction cycle of Chlamydia.   Answer

9. Other serovarieties of C. trachomatis can cause infection -  Answer

 10. What other sites can be involved with sexually transmitted Chlamydia trachomatis?   Answer

 11. List the serovarieties, the diseases they cause, and how each is transmitted.    Answer

12. How would you treat this patient?   Answer