USMLE (Fach) / Microbiology - Systems (Lektion)
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Pelvic inflammatory disease
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Chlamydia trachomatis (subacute, often undiagnosed), Neisseria gonorrhoeae (acute).
C trachomatis – most common bacterial STI in the US.
Signs:- Cervical motion tenderness- Adnexal tenderness- Purulent cervical dischargePID may include salpingitis, endometritis, hydrosalpinx, and tubo-ovarian abscess.
- Salpingitis is a risk factor for ectopic pregnancy, infertility, chronic pelvic pain, and adhesions.
Can lead to perihepatitis (Fitz-Hugh-Curtis syndrome) – infection and inflammation of liver capsule and "violin string" adhesions of peritoneum to liver.
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