Infectious Disease Book

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Non-Gonococcal Urethritis

Aka: Non-Gonococcal Urethritis
  1. See Also
    1. Dysuria
    2. Dysuria in Women
    3. Dysuria in Men
    4. Dysuria in Children
  2. Causes
    1. See Dysuria
    2. Chlamydia trachomatis (35-45%)
    3. Ureoplasma urealyticum (15-25%)
    4. Other causes
      1. Mycoplasma
      2. Trichomonas vaginalis
      3. Herpes Simplex Virus
      4. Idiopathic
  3. Symptoms
    1. Urethral discharge
    2. Dysuria
  4. Differential Diagnosis
    1. See Dysuria
    2. Trichomonas
      1. Consider if no response to Azithromycin, Doxycycline
    3. Chlamydia trachomatis
  5. Management
    1. Precaution
      1. See Dysuria for a more complete protocol for management
    2. First-Line (empiric for Chlamydia)
      1. Azithromycin 1 gram for one dose
      2. Doxycycline 100 mg orally twice daily for 7 days
    3. Persistent Urethritis
      1. See Dysuria
      2. Metronidazole 2 grams x1 dose and
      3. Erythromycin 500 mg PO qid for 7 days
  6. References
    1. Stamm (1995) JAMA 274:545-9 [PubMed]

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