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Old 02-24-2011
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I am doubt with this question

Swelling of testis, dysuria, urethral discharge. Gram stain revealed neutrophils but no organism. Which one will be most correct, chlamydia trachomits or neisseria gonorrhea.
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Old 02-24-2011
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U have two clues here! there are no organisms; Chlamydia. Which is more common, Chlamydia. In gono. u see organisms within neutros.
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Old 02-24-2011
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IS this patient male or female?

Male is more common with Gonorrhea
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Old 02-24-2011
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Quote:
Originally Posted by patelMD View Post
IS this patient male or female?

Male is more common with Gonorrhea
Males are more symptomatic, females are often asymptomatic. Here u don't see organisms; that is classic with chlamyd.
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Old 02-24-2011
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Some useful facts to remember - Chlamydia trchomatis

In men, accounts for half of non-gonococcal uretritis (one of the commonest cause of non-gonococcal urethritis), a third of cases of acute epididymitis

In women, accounts for 60% of PID, half of cases of cervicitis

Typical triad in men-dysuria, urethral discharge and epididymitis

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Old 02-24-2011
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Quote:
Originally Posted by chulady View Post
I am doubt with this question

Swelling or testis, dysuria, urethral discharge. Gram stain revealed neutrophls but no organism. Which one will be most correct, chlamydia trachomits or n gonorrhoea.
As drahmednawaz mentioned above, Gram stain must reveal if there is gonococcal infection. But in this case gram stain did not show any bacterias, which mean that the organism (C.trachomits) must be intracellular or lacking cell wall.
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Old 02-24-2011
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Sounds like chlamydia, no gram stain, and intracellular.
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