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1. Nongonococcal urethritis (NGU) Dr. Hani Masaadeh
MD PhD
2. Urethritis
•Gonococcal
•Nongonococcal
–Chlamydia trachomatis(15-40%)
–Ureaplasma urealyticum(10-40%)
–Other (20-40%)
•Mycoplasma genitalium (15-25%)
•Trichomonas vaginalis(rare)
•Yeasts (rare)
•HSV (rare in the absence of skin lesions)
•Adenovirus (rare)
•Haemophilus spp
3. Nongonococcal urethritis (NGU)
Nongonococcal urethritis (NGU) is the most frequent cause of urethritis in heterosexual men. 45% of the cases of gonorrhea also have NGU. NGU is diagnosed if Gram-negative intracellular diplococci cannot be identified on urethral smears.
A number of other organisms can cause NGU and they include:
Ureaplasma urealyticum
Mycoplasma genitalium
Trichomonas vaginalis
Herpes Simplex virus
4. Nongonococcal urethritis (NGU) is a nongonorrheal bacterial infection of the urethra
NGU involves Chlamydia trachomatis, which causes chlamydia. The term NGU refers to the condition in men and chlamydia refers to the condition in women.
5. A. Important characteristics of the known cause of NGU C. trachomatis types D-K is an obligate intracellular bacteria which requires tissue culture to grow in the laboratory.
U. urealyticum is a prokaryote that lacks a cell wall and can be cultured in the lab.
6. Mycoplasma genitalium is a bacterium lacking a cell well.
This organism is also oftentimes seen in normal individuals.
G. vaginalis is a rod shaped gram variable bacteria which more commonly causes vaginitis but can on occasion cause NGU in males