Non-gonococcal urethritis: Difference between revisions
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(→: significantly expanded the DDx based on Canadian STI guidelines) |
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+ | ==Differential Diagnosis== |
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− | * |
+ | *'''Bacterial''' |
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+ | **''[[Chlamydia trachomatis]]'' (20-40%), which is the second-most common cause of urethritis after ''[[Neisseria gonorrhoeae]]'' |
− | ** ''[[Mycoplasma genitalium]]'' (20-30%) |
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− | ** |
+ | **''[[Mycoplasma genitalium]]'' (20-30%) |
+ | **''[[Ureaplasma urealyticum]]'' |
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− | * |
+ | *'''Parasitic''' |
− | ** |
+ | **''[[Trichomonas vaginalis]]'' |
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+ | *'''Viral''' |
− | ** [[Herpes simplex virus]] |
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− | ** |
+ | **[[Herpes simplex virus]] |
+ | **[[Adenovirus]] |
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− | * |
+ | *'''Fungal''' |
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+ | **''[[Candida albicans]]'' |
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+ | *'''Idiopathic''' in up to 50% |
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+ | == Investigations == |
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+ | * In general, first void urine is preferred to mid-stream urine for urethral pathogens |
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[[Category:Genitourinary infections]] |
[[Category:Genitourinary infections]] |
Latest revision as of 11:22, 3 September 2020
Differential Diagnosis
- Bacterial
- Chlamydia trachomatis (20-40%), which is the second-most common cause of urethritis after Neisseria gonorrhoeae
- Mycoplasma genitalium (20-30%)
- Ureaplasma urealyticum
- Parasitic
- Viral
- Fungal
- Idiopathic in up to 50%
Investigations
- In general, first void urine is preferred to mid-stream urine for urethral pathogens