Cervicitis: Difference between revisions

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__NOTOC__
{{Cervicitis}}
{{CMG}}; {{AE}} {{PTD}}
'''For patient information, click [[Cervicitis (patient information)|here]]'''
'''For patient information, click [[Cervicitis (patient information)|here]]'''
{{DiseaseDisorder infobox |
 
  Name        = Cervicitis |
{{SK}} Cervical inflammation; inflammation - cervix
  ICD10      = |
  ICD9        = {{ICD9|098.15}}, {{ICD9|099.53}}, {{ICD9|616.0}} |
}}
{{Cervicitis}}
{{CMG}}


==[[Cervicitis overview|Overview]]==
==[[Cervicitis overview|Overview]]==


==Causes==
==[[Cervicitis historical perspective|Historical Perspective]]==
Cervicitis can be caused by any of a number of infections, of which the commonest are [[chlamydia]] and [[gonorrhea]].  [[Trichomonas vaginalis]] and [[herpes simplex]] are less common causes of cervicitis.  The role of [[Mycoplasma genitalium]]
 
and [[bacterial vaginosis]] in causing cervicitis is still under investigation.<ref>{{cite journal | author=Marrazzo JM, Martin DH | title=Management of Women with Cervicitis | journal=Clin Infect Dis | year=2007 | volume=44 | issue=S3 | pages=S102 }}</ref>
==[[Cervicitis classification|Classification]]==
 
==[[Cervicitis pathophysiology|Pathophysiology]]==


==Mucopurulent cervicitis==
==[[Cervicitis causes|Causes]]==
'''Mucopurulent cervicitis''' (MPC) is characterized by a [[purulent]] or mucopurulent endocervical exudate visible in the endocervical canal or in an endocervical swab specimen. Some specialists also diagnose MPC on the basis of easily induced cervical bleeding. Although some specialists consider an increased number of [[polymorphonuclear leukocytes]] on endocervical Gram stain as being useful in the diagnosis of MPC, this criterion has not been standardized, has a low positive-predictive value (PPV), and is not available in some settings. MPC often is asymptomatic, but some women have an abnormal vaginal discharge and vaginal bleeding (e.g., after [[sexual intercourse]]). MPC can be caused by [[C. trachomatis]] or [[N. gonorrheae]]; however, in most cases neither organism can be isolated. MPC can persist despite repeated courses of antimicrobial therapy. Because relapse or reinfection with C. trachomatis or N. gonorrhoeae usually does not occur in persons with persistent cases of MPC, other non-microbiologic determinants (e.g., inflammation in the zone of ectopy) might be involved.


Patients who have MPC should be tested for [[C. trachomatis]] and for [[N. gonorrhoeae]] with the most sensitive and specific test available. However, MPC is not a sensitive predictor of infection with these organisms; most women who have C. trachomatis or N. gonorrhoeae do not have MPC.
==[[Cervicitis differential diagnosis|Differentiating Cervicitis from other Diseases]]==


==References==
==[[Cervicitis epidemiology and demographics|Epidemiology and Demographics]]==
{{reflist|2}}


==Additional Resources==
==[[Cervicitis risk factors|Risk Factors]]==
* Centers for Disease Control and Prevention. Diseases characterized by urethritis and cervicitis. Sexually transmitted diseases treatment guidelines. MMWR Recomm Rep 2002 10 May; 51 (RR-6):30-42.
 
*''Much of an earlier version of this article was taken from the public domain document "Diseases characterized by urethritis and cervicitis. Sexually transmitted diseases treatment guidelines 2002." which can be found at  http://www.guideline.gov/summary/summary.aspx?doc_id=3236 ''
==[[Cervicitis screening|Screening]]==
 
==[[Cervicitis natural history|Natural History, Complications and Prognosis]]==
 
==Diagnosis==
[[Cervicitis history and symptoms|History and Symptoms]] | [[Cervicitis physical examination|Physical Examination]] | [[Cervicitis laboratory findings|Laboratory Findings]] | [[Cervicitis electrocardiogram|Electrocardiogram]] | [[Cervicitis x ray|X Ray]] | [[Cervicitis CT|CT]] | [[Cervicitis MRI|MRI]] | [[Cervicitis ultrasound|Ultrasound]] | [[Cervicitis other imaging findings|Other Imaging Findings]] | [[Cervicitis other diagnostic studies|Other Diagnostic Studies]]
 
==Treatment==
[[Cervicitis medical therapy|Medical Therapy]] | [[Cervicitis surgery|Surgery]] | [[Cervicitis primary prevention|Primary Prevention]]  | [[Cervicitis secondary prevention|Secondary Prevention]] | [[Cervicitis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Cervicitis future or investigational therapies|Future or Investigational Therapies]]
 
==Case Study==
[[Cervicitis case study one|Case #1]]


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[[pt:Cervicite]]
[[pt:Cervicite]]


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[[Category:Disease]]
[[Category:Inflammations]]
[[Category:Up-To-Date]]
[[Category:Gynecology]]
[[Category:Emergency medicine]]
[[Category:Infectious disease]]
[[Category:Infectious disease]]
[[Category:Signs and symptoms]]
[[Category:Gynecology]]
[[Category:Overview complete]]
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Latest revision as of 20:51, 29 July 2020

Cervicitis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Cervicitis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

Echocardiography and Ultrasound

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]

For patient information, click here

Synonyms and keywords: Cervical inflammation; inflammation - cervix

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Cervicitis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | X Ray | CT | MRI | Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Study

Case #1

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