There are numerous serotypes of chlamydia generally speaking. Serotypes A-K cause more localized GU manifestations and the L serotypes a systemic disease (lymphogranuloma venereum).

Serotypes A-K

Serotypes A-K of Chlamydia trachomatis can have the following presentation:

■ Asymptomatic

■ Mucopurulent discharge

■ Cervicitis

■ Urethritis

■ Trachoma—conjunctivitis resulting in eyelash hypercurvature and eventual blindness from corneal abrasions

■ Fitz-Hugh-Curtis syndrome

Serotypes L1-L3

Serotypes L1-L3 of Chlamydia trachomatis cause lymphogranuloma venereum. This is a systemic disease that can present in several forms:

■ Primary lesion—painless papule on genitals

■ Secondary stage-lymphadenitis

■ Tertiary stage—rectovaginal fistulas, rectal strictures

Chlamydia is twice as common as gonorrhea.

Fitz-Hugh-Curtis perihepatitis presents as right upper quadrant pain, fever, nausea, and vomiting. It can be caused by gonorrhea or chlamydia.

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