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OVERVIEW
Acute cervicitis refers to an inflammatory condition of the cervix. It is typically caused by an infectious process (which is why it is distinguished form chronic cervicitis).
WHAT CAUSES IT?
This condition is most often caused by infection of the cervix either by Chlamydia trachomatis or Neisseria gonorrhoeae however other pathogens may be responsible as well.
WHAT MAKES US SUSPECT IT?
Risk Factors:
Age <25 years, high risk sexual behavior
Initial Présentation:
- Asymptomatic (most common)
- Vaginal itching/burning
- Vaginal discharge
Physical Exam:
Gynecological exam can reveal the presence of
- Muscopurulent discharge
- Friable cervix that may be visibly bleeding during the examination.
CLINCIAL WORKUP
Nucleic acid amplification testing (NAAT) can be used to identity the casual pathogen.
WHAT ESLE ARE CONCERNED ABOUT?
Pelvic inflammatory disease can be a serious complication.
Ectopic pregnancy can be the result of acute cervitiis
Infertility can be caused by this condition.
HOW DO WE TREAT IT?
Empiric treatment is an acceptable option if the clinical picture strongly suggests acute cervicitis. Based upon the most likely cause of this condition the following drugs are used in combination:
- Azithromycin: this medication is used to treat Chlamydia trachomatis infection (can be used as monotherapy if this only identified pathogen with NAAT).
- Ceftriaxone is used to cover Neisseria gonorrhoeae infection. When infection with Neisseria gonorrhoeae this medication is still used in combination with azithromycin
ARCHIVE OF STANDARDIZED EXAM QUESTIONS
This archive compiles exam questions that relate to this topic.
Page Updated: 10.15.2016