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Question: Originally considered a virus, Chlamydia is now recognized as a bacteria. Why is this so?

10 Oct 2022,12:13 AM

 

An 20 y.o., sexually active, college student has been experiencing dysuria for the last couple of days. At one point he noticed that a small amount of yellowish discharge from the tip of his penis. He is in a relationship with his first sexual partner for about 5 months. He has not experienced any similar incidents in this time frame and wonders if his partner has been monogamous. He made an appointment at the school clinic to seek care. He has provided a urine specimen for evaluation. Physical Exam: T, 100.6; HR 82, R 18, Bp 120/76. Yellow discharge noted on penile area Low back pain Unilateral left painful, swollen scrotum Culture was also done to identify the organism Questioning occurred related ​‌‍‍‍‌‍‍‌‍‌‌‌‍‍‌‍‍‌‌‍​to his sexual partners. Test results came back positive for chlamydia.

Questions:

1. Originally considered a virus, Chlamydia is now recognized as a bacteria. Why is this so?

2. Chlamydial organisms are obligate non-motile intracellular parasites associated with many sexually transmitted diseases. Why?

3. Why can this virus remain latent or subclinical for years before it is diagnosed?

4. What are the treatment options for this patient? Note where you found the evidence to support this treatment.

5. Why did the medical professionals ask him about his sexual partners?

6. If untreated, what complications could occur to his sexual partner?

7. What education is needed for this patient to prevent this from occurring again?

Expert answer

 

Originally, Chlamydia was classified as a virus because it shares some common characteristics with viruses, such as the ability to spread from host to host. However, further research has shown that Chlamydia is actually a type of bacteria. One reason this is important is that it means that Chlamydia can be treated with antibiotics, whereas viruses cannot.

Chlamydia is a sexually transmitted infection (STI) caused by the bacteria Chlamydia trachomatis. It can infect both men and women, and is especially common among young adults aged 18-24 years old. Chlamydia is usually spread through sexual contact, including vaginal, anal, and oral sex. It can also be passed from an infected mother to her baby during childbirth.

 

Most people with Chlamydia do not experience any symptoms, which is why it is often referred to as a “silent” STI. However, if left untreated, Chlamydia can lead to serious health problems such as infertility, ectopic pregnancy, and pelvic inflammatory disease in women. In men, untreated Ch

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