Weekend Digest
Name the pathogen.
Pain and discomfort when you pee
But Hans Christian Gram cannot see
Try to kill me with Doxy
Moxi chaser sets you symptom-free.
Name the pathogen.
Pain and discomfort when you pee
But Hans Christian Gram cannot see
Try to kill me with Doxy
Moxi chaser sets you symptom-free.
2/
#Mycoplasma #genitalium
“Cause of #NGU not visible by Gram stain and treated with two-stage approach using #doxycycline followed by #moxifloxacin chaser!”
Fellows, this is #IDBR material, definitely!
#Mycoplasma #genitalium
“Cause of #NGU not visible by Gram stain and treated with two-stage approach using #doxycycline followed by #moxifloxacin chaser!”
Fellows, this is #IDBR material, definitely!
3/
#Mycoplasma #genitalium
Diseases;
Men: persistent / recurrent non-gonococcal urethritis (NGU) / non-chlamydia urethritis
Women: cervicitis, PID, preterm delivery, spontaneous abortion, infertility
Many infections are asymptomatic!
Don’t forget: rectal / pharyngeal infection
#Mycoplasma #genitalium
Diseases;
Men: persistent / recurrent non-gonococcal urethritis (NGU) / non-chlamydia urethritis
Women: cervicitis, PID, preterm delivery, spontaneous abortion, infertility
Many infections are asymptomatic!
Don’t forget: rectal / pharyngeal infection
4/
#Mycoplasma #genitalium
Diagnosis:
Lacks cell wall: no organism seen on Gram stain!
Difficult to culture.
Use nucleic acid amplification test NAAT (if able, check macrolide resistant gene)
cdc.gov/std/treatment-…
#Mycoplasma #genitalium
Diagnosis:
Lacks cell wall: no organism seen on Gram stain!
Difficult to culture.
Use nucleic acid amplification test NAAT (if able, check macrolide resistant gene)
cdc.gov/std/treatment-…
5/
#Mycoplasma #genitalium
Two-stage Treatment
Doxycycline 100 mg PO BID for 7 days folllowed by moxifloxacin 400 mg daily for 7 days (or if susceptible, by a macrolide)
Test and treat sexual partners
Test of cure not needed.
(CDC guidance 2021)
#Mycoplasma #genitalium
Two-stage Treatment
Doxycycline 100 mg PO BID for 7 days folllowed by moxifloxacin 400 mg daily for 7 days (or if susceptible, by a macrolide)
Test and treat sexual partners
Test of cure not needed.
(CDC guidance 2021)
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