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13.72: Bacterial Sexually Transmitted

  • Page ID
    6819
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    Single-celled organisms. Can they be dangerous?

    These are chlamydia. Innocent-looking single-celled organisms. But these bacteria can lead to painful and devastating consequences.

    ChlamydiaTrachomatisEinschlusskörperchen.jpg

    Chlamydia trachomatis inclusion bodies (brown) in a McCoy cell culture. (public domain; CDC-PHIL)

    Bacterial STIs

    Many STIs are caused by bacteria. Some of the most common bacterial STIs are chlamydia, gonorrhea, and syphilis. Bacterial STIs can be cured with antibiotics.

    Chlamydia

    Chlamydia is the most common STI in the United States. As shown in the graph in Figure below, females are much more likely than males to develop chlamydia. Like most STIs, rates of chlamydia are highest in teens and young adults.

    Chlamydia incidence rates by age and gender

    This graph shows the number of cases of chlamydia per 100,000 people in the U.S. in 2004. Which age group had the highest rates? How much higher were the rates for females aged 15–19 than for males in the same age group?

    Symptoms of chlamydia may include a burning sensation during urination and a discharge from the vagina or penis. Chlamydia can be cured with antibiotics, but often there are no symptoms, so people do not seek treatment. Untreated chlamydia can lead to more serious problems, such as pelvic inflammatory disease (PID). This is an infection of the uterus, fallopian tubes, and/or ovaries. It can scar a woman’s reproductive organs and make it difficult for her to become pregnant.

    Gonorrhea

    Gonorrhea is another common STI. Symptoms of gonorrhea may include painful urination and discharge from the vagina or penis. Gonorrhea usually can be cured with antibiotics, although the bacteria have developed resistance to many of the drugs. Gonorrhea infections may not cause symptoms, especially in females, so they often go untreated. Untreated gonorrhea can lead to PID in females. It can lead to inflammation of the reproductive organs in males as well.

    Syphilis

    Syphilis is less common than chlamydia or gonorrhea but more serious if untreated. Early symptoms of syphilis infection include a small sore on or near the genitals. The sore is painless and heals on its own, so it may go unnoticed. If treated early, most cases of syphilis can be cured with antibiotics. Untreated syphilis can cause serious damage to the heart, brain, and other organs. It may eventually lead to death.

    Summary

    • Bacterial STIs include chlamydia, gonorrhea, and syphilis.
    • Bacterial STIs usually can be cured with antibiotics.

    Review

    1. Identify three common STIs that are caused by bacteria.
    2. Often, STIs do not cause symptoms. Why is it important to detect and treat STIs even when they do not cause symptoms? Give an example of the consequences of an untreated STI.
    3. Which age group had the highest rates of chlamydia? How much higher were the rates for females aged 15–19 than for males in the same age group?
    4. Explain how a lack of symptoms might contribute to the spread of STIs.

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