Gonorrhea with chlamydial infection

In comparison with gonorrhea, chlamydial genital infections are more frequently asymptomatic, and when present, symptoms tend to be less noticeable. Table 46-7 summarizes the usual clinical presentation of chlamydial infections. 

Similar to gonorrhea, chlamydia may be transmitted to an infant during contact with infected cervicovaginal secretions. Nearly two-thirds of infants acquire chlamydial infection after endocervical exposure, with the primary morbidity associated with seeding of the infant s eyes, nasopharynx, rectum, or vagina. 

Inflammatory acne vulgaris, Lyme disease, mycoplasmal disease, Legionella infections. Rocky Mountain spotted fever, chlamydial infections in patients with gonorrhea PO... 

Topical antibiotic agents alone are inadequate and unnecessary when systemic treatment is administered. A single dose of ceftriaxone, 25 to 50 mg/kg intravenously or intramuscularly, not to exceed 125 mg, is the regimen currently recommended by the CDC. Simultaneous infection with C. trachomatis should be considered when a patient does not improve after treatment. Both mother and infent should be tested for chlamydial infection at the same time that gonorrhea testing is conducted. 

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