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Infections urog nitales gonocoque et Chlamydiae trachomatis Item 95

Plan. EpidmiologieDiagnostic cliniqueDiagnostic de laboratoireEvolution et complicationsTraitement . Epidmiologie. Gonococcie :Neisseria gonorrhoeae, diplocoque gram ngatifPrdominance IntracellulaireTransmission par contact direct (rapport sexuel)MST trs rpandue, pic en 1970, rductio

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Infections urog nitales gonocoque et Chlamydiae trachomatis Item 95

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    1. Infections urognitales gonocoque et Chlamydiae trachomatis Item 95 Carle Paul Dermatologie, Hpital Purpan, Toulouse

    2. Plan Epidmiologie Diagnostic clinique Diagnostic de laboratoire Evolution et complications Traitement

    3. Epidmiologie Gonococcie : Neisseria gonorrhoeae, diplocoque gram ngatif Prdominance Intracellulaire Transmission par contact direct (rapport sexuel) MST trs rpandue, pic en 1970, rduction puis augmentation depuis 1998 Dveloppement de rsistances la pnicilline (15%), aux ttracyclines (20%) et la ciprofloxacine (30%) Chlamydia trachomatis Bactrie intracellulaire obligatoire Incidence 50 80 fois plus frquente que la gonococcie Prvalence de 2 10% chez ladulte jeune Frquence du portage asymptomatique

    4. Diagnostic clinique : Gonococcie Chez lhomme : 3 types datteinte Incubation de 2 7 jours Urtrite antrieure aigue : brlures mictionnelles, coulement purulent, inflammation du mat, risque de prostatite et dpididymite Rectite gonococcique : prurit anal, anite purulente, souvent asymptomatique Oropharyngite : souvent asymptomatique

    5. Urtrite gonococcique

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