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Chlamydia trachomatis tonsillopharyngitis.

Oztürk O, Seven H - Case Rep Otolaryngol (2012)

Bottom Line: We report a male patient with progressive tonsillopharyngitis resistant to amoxicillin/clavulanic acid therapy.The patient presented 9 days after an orogenital and oroanal sexual intercourse with a female sex worker.The microimmunofluorescence revealed CT tonsillopharyngitis, and after completing a one-week course of doxycycline, the patient recovered completely.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology and Head and Neck Surgery, School of Medicine, Istanbul Medipol University, 34718 Istanbul, Turkey.

ABSTRACT
Reports about the extragenital spread of Chlamydia trachomatis (CT) to oropharynx are limited. We report a male patient with progressive tonsillopharyngitis resistant to amoxicillin/clavulanic acid therapy. The patient presented 9 days after an orogenital and oroanal sexual intercourse with a female sex worker. The microimmunofluorescence revealed CT tonsillopharyngitis, and after completing a one-week course of doxycycline, the patient recovered completely. More cases of CT tonsillopharyngitis may be revealed if attention is paid to an association of sexual activity with enduring tonsillopharyngitis.

No MeSH data available.


Related in: MedlinePlus

Chlamydia trachomatis tonsillopharyngitis. There is generalized pharyngeal and tonsillar hyperemia with diffuse purulent exudate on the left tonsil and swollen anterior pillars and uvula.
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fig1: Chlamydia trachomatis tonsillopharyngitis. There is generalized pharyngeal and tonsillar hyperemia with diffuse purulent exudate on the left tonsil and swollen anterior pillars and uvula.

Mentions: A previously well 37-year-old male patient presented with sore throat, odynophagia, high fever, and malaise for a period of one week. The patient reported that he had been using amoxicillin/clavulanic acid 1000-mg/62.5-mg tablet, twice daily, for a period of 5 days, but the clinical symptoms were deteriorating. An otorhinolaryngologic examination revealed hyperemic and congested oropharynx and tonsils with diffuse exudate predominantly on the left tonsil (Figure 1) and bilateral Level I-II cervical lymphadenopathies. The patient was immediately hospitalized, and penicillin G potassium was administered with a dose of 4 million-units q4 hrs. Throat culture for group A β-hemolytic streptococci showed normal flora. Monospot test for heterophile antibodies was negative. Chest X-ray and upper abdominal ultrasound examinations were within normal limits. A complete blood count showed leucocytosis (11.29 × 103/uL), with 73.2% neutrophilia and 12.4% lymphopenia. On the 4th day of the hospitalization, the patient gave a history of a sexual intercourse with a female sex worker (FSW), 9 days before hospitalization. The patient admitted that coitus did not take place, the sexual act was predominantly with cunnilingus and anilingus, and mutual masturbation with manual contact. On the 6th day, laboratory work-up for a STD (e.g., gonorrhea, syphilis, and chlamydia) declared a positivity for Chlamydial IgM with microimmunofluorescence. Total urine count showed rare leucocytes, and urine culture was negative. Medical therapy was changed to doxycycline 100 mg tablets, twice daily, on the 6th day of hospitalization. A pronounced symptomatic improvement was seen in the first 48 hours of the new drug regimen, the signs of tonsillopharyngitis settled down, and the patient was discharged on the 8th day. After completing a one-week course of doxycycline, the patient recovered completely.


Chlamydia trachomatis tonsillopharyngitis.

Oztürk O, Seven H - Case Rep Otolaryngol (2012)

Chlamydia trachomatis tonsillopharyngitis. There is generalized pharyngeal and tonsillar hyperemia with diffuse purulent exudate on the left tonsil and swollen anterior pillars and uvula.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3461287&req=5

fig1: Chlamydia trachomatis tonsillopharyngitis. There is generalized pharyngeal and tonsillar hyperemia with diffuse purulent exudate on the left tonsil and swollen anterior pillars and uvula.
Mentions: A previously well 37-year-old male patient presented with sore throat, odynophagia, high fever, and malaise for a period of one week. The patient reported that he had been using amoxicillin/clavulanic acid 1000-mg/62.5-mg tablet, twice daily, for a period of 5 days, but the clinical symptoms were deteriorating. An otorhinolaryngologic examination revealed hyperemic and congested oropharynx and tonsils with diffuse exudate predominantly on the left tonsil (Figure 1) and bilateral Level I-II cervical lymphadenopathies. The patient was immediately hospitalized, and penicillin G potassium was administered with a dose of 4 million-units q4 hrs. Throat culture for group A β-hemolytic streptococci showed normal flora. Monospot test for heterophile antibodies was negative. Chest X-ray and upper abdominal ultrasound examinations were within normal limits. A complete blood count showed leucocytosis (11.29 × 103/uL), with 73.2% neutrophilia and 12.4% lymphopenia. On the 4th day of the hospitalization, the patient gave a history of a sexual intercourse with a female sex worker (FSW), 9 days before hospitalization. The patient admitted that coitus did not take place, the sexual act was predominantly with cunnilingus and anilingus, and mutual masturbation with manual contact. On the 6th day, laboratory work-up for a STD (e.g., gonorrhea, syphilis, and chlamydia) declared a positivity for Chlamydial IgM with microimmunofluorescence. Total urine count showed rare leucocytes, and urine culture was negative. Medical therapy was changed to doxycycline 100 mg tablets, twice daily, on the 6th day of hospitalization. A pronounced symptomatic improvement was seen in the first 48 hours of the new drug regimen, the signs of tonsillopharyngitis settled down, and the patient was discharged on the 8th day. After completing a one-week course of doxycycline, the patient recovered completely.

Bottom Line: We report a male patient with progressive tonsillopharyngitis resistant to amoxicillin/clavulanic acid therapy.The patient presented 9 days after an orogenital and oroanal sexual intercourse with a female sex worker.The microimmunofluorescence revealed CT tonsillopharyngitis, and after completing a one-week course of doxycycline, the patient recovered completely.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology and Head and Neck Surgery, School of Medicine, Istanbul Medipol University, 34718 Istanbul, Turkey.

ABSTRACT
Reports about the extragenital spread of Chlamydia trachomatis (CT) to oropharynx are limited. We report a male patient with progressive tonsillopharyngitis resistant to amoxicillin/clavulanic acid therapy. The patient presented 9 days after an orogenital and oroanal sexual intercourse with a female sex worker. The microimmunofluorescence revealed CT tonsillopharyngitis, and after completing a one-week course of doxycycline, the patient recovered completely. More cases of CT tonsillopharyngitis may be revealed if attention is paid to an association of sexual activity with enduring tonsillopharyngitis.

No MeSH data available.


Related in: MedlinePlus