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 of Chlamydia trachomatis can have the following presentation:
■ Mucopurulent discharge
■ Trachoma—conjunctivitis resulting in eyelash hypercurvature and eventual blindness from corneal abrasions
■ Fitz-Hugh-Curtis syndrome
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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