[Chlamydia infections in dermatology].
The serovares D-K of Chlamydia trachomatis (CT) are associated with inclusion conjunctivits, non-gonoccoccal urethritis (NGU), post-gonoccoccal urethritis (PGU), epididymitis, and ensuing male infertility. CT can be isolated from testicular tissue, in sexually acquired reactive arthritis (SARA) and in proctitis. Female partner infection primarily involves the cervix with ascending infection and ensuing infertility. Asymptomatic CT infection of the urogenital tract does not only present epidemiological problems, but also calls for smear examination in the asympotomatic partner. Double infection with CT and Neisseria gonorrhoeae is not necessarily followed by PGU. Incomplete detection of CT must be taken into account especially after application of penicillin and in the isolation procedures from sperm. The serovares L1-L3 are the infectious agents in venereal lymphogranuloma. Tetracyclines and erythromycin are usually recommended as the therapy of choice in CT infection. Sulfonamides should be applied with caution, since resistent CT isolates have been made known. There is still further clinical study required regarding the efficacy of quinolines in urogenital infections with chlamydiae.
Hartmann
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Klinik und Poliklinik für Haut- und Geschlechtskrankheiten, Julius-Maximilians-Universität Würzburg.
D002690:Chlamydia Infections / Q000175:diagnosis*; D002692:Chlamydia trachomatis; D006801:Humans; D008219:Lymphogranuloma Venereum / Q000175:diagnosis; D012749:Sexually Transmitted Diseases / Q000175:diagnosis*
Chlamydieninfektionen in der Dermatologie.