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Gonococcal cervicitis
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Gonococcal cervicitis

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Contributors: Neil Mendoza MD, Paritosh Prasad MD
Other Resources UpToDate PubMed

Synopsis

Gonococcal cervicitis is a sexually transmitted infection caused by Neisseria gonorrhoeae.

Risk factors for this infection include a history of a new sex partner, multiple sex partners (or a partner who has multiple partners), previous or coexisting sexually transmitted infections (either the patient or a partner), and exchanging sex for money or drugs.

Many women with lower genital tract infections with this organism are asymptomatic. Those who have symptoms usually seek medical care within 10 days of infection. They may complain of vaginal discharge, dysuria, and abnormal uterine bleeding. Patients who strictly have cervicitis do not typically complain of abdominal or pelvic pain (these symptoms are usually indicative of an upper genital tract infection).

Purulent cervical exudate is visualized on pelvic examination. Gentle swabbing may elicit bleeding.

Neisseria gonorrhoeae readily acquires antibiotic resistance, and the emergence of strains resistant to third generation cephalosporins is a major public health problem.

Codes

ICD10CM:
A54.03 – Gonococcal cervicitis, unspecified

SNOMEDCT:
237083000 – Gonococcal Cervicitis

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

  • Other infectious causes of cervicitis including Chlamydia trachomatis, Trichomonas vaginalis, and herpes simplex virus – testing for the individual agents can be performed
  • Cervical irritation due to foreign body (tampon, etc) – will be suspected based on clinical history
  • Cervical irritation due to exposure to latex condom in patients with a latex allergy – will be suspected based on clinical history
  • Behçet syndrome – rarely associated with cervical lesions

Best Tests

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Management Pearls

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Therapy

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References

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Last Updated: 06/17/2016
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Gonococcal cervicitis
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Gonococcal cervicitis : Vaginal bleeding, Vaginal discharge, Dyspareunia, Dysuria, Purulent cervical discharge
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