DERMATO-VENEREOLOGY DEPARTMENT FACULTY of MEDICINE HASANUDDIN UNIVERSITY

NON GONOCOCCAL URETHRITIS

Referat Advisor : dr.armansjah dara Supervisor : prof.dr.dr.dali amiruddin, sp.kk(k)
done by : GANESHA A.ALFIAH MUTMAINAH C 111 07 320 C 111 07 063

Non-Gonococcal Urethritis (ngu) is an inflammation of the urethra which is not caused by the bacteria NEISSERIA GONORRHOEAE

 mostly found in people with low socio-economic

status & high sexual activity. more often in men than women (19 24 years old) more often in heterosexual than homosexual people about 89 million cases per year

BACTERIA Chlamydia trachomatis Ureaplasma urealyticum Mycoplasma hominis Mycoplasma genatalium

PARASITE Trichomonas vaginalis

VIRUS Herpes Simplex Virus adenovirus

ALLERGY Allergic reaction to urogenital secrete of sexual partner

 in men : 1 3 weeks after sexual contact Dysuria Morning drops - clear or white discharge from the penis Itchy sensation at the tip of penis
in women : usually asymptomatic white or yellowish discharge from the vagina cervicitis, vaginitis, urethritis

Chlamydial cervicitis

Chlamydial urethritis

Vaginal chlamydia

 more than 1 sexual partner within the last 1

month sexual intercourse with commercial sexual worker within the last 1 month experienced 1 or more episodes of sexually transmitted disease within the last 1 year high risk of the sexual partners work

anamnesis physical examination

supporting examination

 Laboratory Test gram staining urine sediment microscopic examination of the cervix endourethral specimen test Immunological examination fluorescein conjugated monoclonal antibodies elisa culturing serological test

pcr
lcr

Trichomonas vaginalis culture, in the form of tropozoit. 4 flagellas & 1 nucleus can be seen

Inclusion bodies of chlamydia trachomatis on McCoy culture

 gonococcal urethritis

manifestation of purulent secretion through the urethra which is creamish, in gonnorrhoeae in men

 management of the sexual partner recommended medication : azithromycin1gr orally single dosage doxycycline 100mg orally twice a day for 7 days alternative medication : erythromycin 500mg orally 4 times a day for 7 days erythromycin ethylsiccinate 800mg orally 4 times a day for 7 days ofloxacin 300mg orally twice a day for 7 days levofloxacin 500mg orally once a day for 7 days

 in men :
epididymitis reiters syndrome proctitis

in women :

pelvic inflammatory disease (pid) cystitis cervicitis salphingitis endometriosis spontanous abortion chronic pelvic pain

at times, without medication, the disease will be cured by itself ( 50 70 % of cases in approx. 3 months). About 10% of the patients after medication will have recurrence of the disease.

Thank You For Your Kind Attention!