Chlamydial conjunctivitis (in adults), uveitis, and reactive arthritis, including SARA

Haller-Schober, Eva Maria; El-Shabrawi, Yosuf

doi:10.1053/beog.2002.0320

Cited by 16 publications

(14 citation statements)

References 47 publications

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“…The overall prevalence of C. trachomatis infection was 21.6 % in the study population; the affected individuals were between 14 and 45 years of age, which is an alert for the clinicians as a sign of an STI. These results are in accordance with other findings, as C. trachomatis is found in chronic conjunctivitis of young sexually active adults in about 5-19 % of cases (Haller-Schober & El-Shabrawi, 2002). However the true prevalence ratio of C. trachomatis positivity in cases with conjunctivitis might be lower, as the clinical samples analysed in this study were selected for C. trachomatis screening by the ophthalmologists.…”

Section: Discussionsupporting

confidence: 92%

“…As genital C. trachomatis infections are usually asymptomatic and thus may be left untreated with chronic pathological consequences such as pelvic inflammatory disease, infertility or epididymitis, it is of great value if the ophthalmologists can recognize the aetiological agent of the ocular infection as they may be the first to diagnose this STI. In the case of chlamydial conjunctivitis, a suitable treatment would therefore be systemic because of the associated genital infection rendering local treatment insufficient (Haller-Schober & El-Shabrawi, 2002). Clinicians are also recommended to refer the patients and their sexual partners with genital C. trachomatis infection to an STI clinic for further examination (Stenberg & Mårdh, 1990;Postema et al, 1996).…”

Section: Discussionmentioning

confidence: 99%

“…Adult chlamydial eye infections occur through exposure to infectious genital secretions primarily due to autoinoculation or during sexual contact (Haller-Schober & El-Shabrawi, 2002). In typical cases, follicular conjunctivitis develops characterized by mucopurulent discharge, redness and foreign body sensation.…”

Section: Introductionmentioning

confidence: 99%

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Chlamydial conjunctivitis: prevalence and serovar distribution of Chlamydia trachomatis in adults

Petrovay

Németh

Balázs

et al. 2015

Journal of Medical Microbiology

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The extragenital manifestation of Chlamydia trachomatis infection frequently results in nonspecific conjunctivitis among sexually active adults. The aims of the present study were to determine the prevalence of C. trachomatis, to describe the distribution of serovars among patients with conjunctivitis and to characterize the relationship between the prevalence and patient demographics such as age and gender. A total of 245 conjunctival specimens were screened for C. trachomatis DNA targeting the plasmid gene. Serovar determination of the C. trachomatis-positive specimens was carried out by an omp1 PCR-based RFLP analysis method. Statistical analysis was done using a generalized linear model. C. trachomatis was detected in 53 cases (21.6 %) of adult conjunctivitis. Molecular genotyping differentiated seven distinct urogenital serovars, the most prevalent being serovar E (16/53), followed by F (15/53), D (6/53), K (6/53), G (4/53), H (4/53) and J (2/53). Statistical analysis showed higher C. trachomatis prevalence in the younger age groups, and this peaked at younger age in women than in men. The high prevalence of this pathogen found in ocular samples should alert ophthalmologists to focus on the role of C. trachomatis in adult conjunctivitis. The serovar distribution indicated that ocular chlamydial infections usually have a genital source. Nevertheless, conjunctivitis might be the only sign of this sexually transmitted infection. Further comparative genotyping of C. trachomatis in ocular and genital specimens might give more detailed epidemiological information about the aetiology of the disease.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

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Chlamydial conjunctivitis: prevalence and serovar distribution of Chlamydia trachomatis in adults

Petrovay

Németh

Balázs

et al. 2015

Journal of Medical Microbiology

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“…33 Chlamydia Chlamydia trachomatis is the most common sexually transmitted bacterium and causes ocular problems including inclusion conjunctivitis which is mediated through oculogenital contact by B, Ba, D-K serotypes. 34 Fifty to 90% of adults with ocular infection also have concurrent genital tract infection. The conjunctivitis usually manifest as red eye with foreign body sensation and later development of mucopurulent discharge.…”

Section: Syphilismentioning

confidence: 99%

“…Diagnosis is made with culture and polymerase chain reaction (PCR) examination of the specimens from conjunctiva and urethra. 34,35 Treatment is with a single 1 g dose of azithromycin.…”

Section: Syphilismentioning

confidence: 99%

What you can see in your patient's eyes? Review of ocular manifestations of HIV in HAART era

Nasoodi

Lim²,

Alani³

et al. 2008

Int J STD AIDS

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The early diagnosis and treatment of ocular disease to prevent morbidity and mortality of patients with human immunodeficiency virus (HIV) is of paramount importance. Since the advent of highly active antiretroviral therapy (HAART), the incidence of ocular complications of HIV has decreased and their manifestations and natural course are also modified. This has been observed in the face of emerging immune recovery, which per se has brought new difficulties in the process of diagnosing and management of the ocular disease. Conditions such as immune recovery uveitis could affect eyes with history of opportunistic disease with a potential to cause vision loss; with this regard, differentiation of the inflammatory process from infective causes is essential. The other sexually contracted diseases are also to be included in this complex picture because of their contribution to the clinical picture and also sharing common routes of transmission with HIV. There is very little doubt that visual deterioration would further deteriorate the already compromised quality of life of this group of patients. In this review, authors wish to provide evidence available in the medical literature around the visual health issues in HIV-infected patients and raise awareness towards the changing pattern of the ocular disease in the HAART era.

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Postinfektiöse reaktive Arthritis nach Chlamydieninfektion im Leistungssport

et al. 2020

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Postinfektiöse reaktive Arthritis nach Chlamydieninfektion im Leistungssport Klinisches Management und aktuelle Literaturübersicht "A youth does not suffer from gout until after sexual intercourse", so erkannte schon Hippokrates die potenziell pikante Genese der postinfektiösen reaktiven Arthritis [44]. Die oftmals mangelnde Berücksichtigung der Differenzialdiagnose einer SARA bei atraumatischer Gelenkschwellung führt bei dieser Entität nicht selten zu einer verzögerten Diagnosestellung oder Fehldiagnosen. Wir präsentieren zwei klinische Fälle von Leistungssportlern mit SARA des Kniegelenkes als Komplikation infolge einer Chlamydieninfektion und geben Empfehlungen zum klinischen Management dieses Erkrankungsbildes.

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Chlamydial conjunctivitis (in adults), uveitis, and reactive arthritis, including SARA

Cited by 16 publications

References 47 publications

Chlamydial conjunctivitis: prevalence and serovar distribution of Chlamydia trachomatis in adults

Chlamydial conjunctivitis: prevalence and serovar distribution of Chlamydia trachomatis in adults

What you can see in your patient's eyes? Review of ocular manifestations of HIV in HAART era

Postinfektiöse reaktive Arthritis nach Chlamydieninfektion im Leistungssport

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