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Acute Cervicitis
Aka: Acute Cervicitis, Cervicitis, Mucopurulent Cervicitis, Mucopurulent Vaginitis
- See Also
- Pelvic Inflammatory Disease
- Endometritis
- Vaginitis
- Sexually Transmitted Disease
- Chronic Cervicitis
- Causes: Infection (esp. Mucopurulent Cervicitis)
- Neisseria gonorrhoeae
- Trichomonas vaginalis
- Genital Herpes Simplex Virus (HSV II)
- Human Papilloma virus
- Chlamydia trachomatis
- Mycoplasma genitalium
- Causes: Non-Infectious
- Irritant Vaginitis (e.g. frequent douching)
- Trauma
- Radiation
- Malignancy
- Signs
- See Pelvic Inflammatory Disease
- See Vaginitis
- See Sexually Transmitted Infection
- Pustular cervical discharge
- Diagnosis: Mucopurulent cervical discharge
- Mucopurulent endocervical discharge
- Cervical friability with insertion of a cotton swab into endocervical canal
- Wet prep with >10 White Blood Cells per high powered field
- Labs
- Gonorrhea PCR
- Chlamydia PCR
- Wet preparation
- Trichomonas Vaginalis (PCR testing is also available)
- Bacterial Vaginosis
- Other testing
- HIV Test (recommended in all patients with STI)
- Consider RPR for Syphilis
- Swab lesions for HSV if suspected
- Management
- See Pelvic Inflammatory Disease
- See Vaginitis
- See Sexually Transmitted Infection
- See Endometritis Management
- Empirically treat for Chlamydia and Gonorrhea while awaiting testing
- Consider resistant Mycoplasma genitalium in refractory cases
- References
- (2018) Sanford Guide, accessed on IOS, 9/20/2019
- (2015) MMWR 64(RR3):1-137 [PubMed]
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr6403a1.htm