II. Causes: Infection (esp. Mucopurulent Cervicitis)

  1. Neisseria gonorrhoeae
  2. Trichomonas vaginalis
  3. Genital Herpes Simplex Virus (HSV II)
  4. Human Papilloma virus
  5. Chlamydia trachomatis
  6. Mycoplasma genitalium

III. Causes: Non-Infectious

  1. Irritant Vaginitis (e.g. frequent douching)
  2. Trauma
  3. Radiation
  4. Malignancy

IV. Signs

  1. See Pelvic Inflammatory Disease
  2. See Vaginitis
  3. See Sexually Transmitted Infection
  4. Pustular cervical discharge

V. Diagnosis: Mucopurulent cervical discharge

  1. Mucopurulent endocervical discharge
  2. Cervical friability with insertion of a cotton swab into endocervical canal
  3. Wet prep with >10 White Blood Cells per high powered field

VI. Labs

  1. Gonorrhea PCR
  2. Chlamydia PCR
  3. Wet preparation
    1. Trichomonas Vaginalis (PCR testing is also available)
    2. Bacterial Vaginosis
  4. Other testing
    1. HIV Test (recommended in all patients with STI)
    2. Consider RPR for Syphilis
    3. Swab lesions for HSV if suspected

VII. Management

  1. See Pelvic Inflammatory Disease
  2. See Vaginitis
  3. See Sexually Transmitted Infection
  4. See Endometritis Management
  5. Empirically treat for Chlamydia and Gonorrhea while awaiting testing
  6. Consider resistant Mycoplasma genitalium in refractory cases

VIII. References

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Related Studies

Ontology: Uterine Cervicitis (C0007860)

Definition (NCI) An acute or chronic inflammatory process that affects the cervix. Causes include sexually transmitted diseases and bacterial infections. Clinical manifestations include abnormal vaginal bleeding and vaginal discharge.
Definition (MSH) Inflammation of the UTERINE CERVIX.
Concepts Disease or Syndrome (T047)
MSH D002575
ICD10 N72
SnomedCT 37610005, 80059007, 237081003, 198200007, 266654000, 155980007
English Cervicitides, CERVICITIS, Cervicitis unspecified, Inflammatory disease of cervix uteri, Uterine Cervicitis, Inflammatory disease of the uterine cervix, cervicitis (diagnosis), cervicitis, Cervix inflammation, Uterine Cervicitis [Disease/Finding], cervix inflammation, inflammation of cervix, inflammation cervix, Cervicitis NOS, inflammatory disease of cervix uteri (diagnosis), Cervicitis (disorder), Cervicitis unspecified (disorder), Trachelitis, Inflammatory disease of the cervix, Inflammation of cervix, Inflammation of cervix (disorder), cellulitis; cervix, cervix; cellulitis, cervix; disease, inflammatory, cervix; inflammation, endocervix; infection, infection; endocervix, inflammation; cervix, trachelitis, Cervicitis, NOS, Cervicitis -RETIRED-, Cervicitis, Cervicitides, Uterine, Cervicitis, Uterine, Uterine Cervicitides
French CERVICITE, Cervicite SAI, Inflammation du col de l'utérus, Cervicite
Portuguese CERVICITE, Cervicite NE, Inflamação do colo do útero, Cervicite, Cervicite Uterina
Spanish CERVICITIS, Cervicitis NEOM, Inflamación de cérvix, cervicitis, no especificada, cervicitis - RETIRADO - (concepto no activo), cervicitis, no especificada (trastorno), cervicitis - RETIRADO -, enfermedad inflamatoria del cuello uterino (trastorno), enfermedad inflamatoria del cuello uterino, Cervicitis, Cervicitis Uterina
German ZERVIZITIS, Zervizitis NNB, Cervicitis, Entzündung der Cervix uteri, Gebärmutterhalsentzündung, Entzuendliche Krankheit der Cervix uteri, Entzuendung der Zervix, Endometritis cervicis uteri, Zervixkatarrh, Zervizitis, Gebärmutterhals-Entzündung
Dutch cervicitis NAO, cervix ontsteking, cellulitis; cervix, cervix; aandoening, inflammatoir, cervix; cellulitis, cervix; ontsteking, endocervix; infectie, infectie; endocervix, ontsteking; cervix, Ontstekingsproces van cervix uteri, cervicitis, Cervicitis
Italian Cervicite NAS, Infiammazione della cervice, Cervicite, Cervicite uterina
Japanese 子宮頚管炎NOS, シキュウケイカンエン, シキュウケイカンエンNOS, シキュウケイブノエンショウ, 子宮頚部の炎症, 頚管炎, 子宮頸管炎, 子宮頚管炎, 子宮頸部炎, 頚管カタル, 子宮頚部炎, 頸管炎
Swedish Livmoderhalsinflammation
Czech uterus - cervicitida, cervicitida, děložní hrdlo - zánět, cervix uteri - zánět, zánět děložního hrdla, Cervicitida, Cervicitida NOS, Zánět děložního krčku
Finnish Kohdunkaulan tulehdus
Russian TRAKHELIT, SHEIKI MATKI VOSPALENIE, TSERVITSIT, ЦЕРВИЦИТ, ТРАХЕЛИТ, ШЕЙКИ МАТКИ ВОСПАЛЕНИЕ
Korean 자궁목의 염증성 질환
Polish Zapalenie szyjki macicy
Hungarian cervicitis k.m.n., Cervix gyulladás, cervicitis
Norwegian Livmorhalsbetennelse, Cervicitt

Ontology: Acute cervicitis (C0269061)

Definition (NCI) Acute inflammation of the cervix. Clinical manifestations include mucopurulent vaginal discharge and burning sensation.
Concepts Disease or Syndrome (T047)
SnomedCT 19272000
English acute cervicitis, cervicitis acute, Acute cervicitis (diagnosis), Acute cervicitis, Acute cervicitis (disorder), Acute Cervicitis
Spanish cervicitis aguda (trastorno), cervicitis aguda

Ontology: Mucopurulent vaginitis (C0269076)

Concepts Disease or Syndrome (T047)
SnomedCT 68389001
English Mucopurulent vaginitis (diagnosis), vaginitis mucopurulent, Mucopurulent vaginitis, Mucopurulent vaginitis (disorder)
Spanish vaginitis mucopurulenta (trastorno), vaginitis mucopurulenta