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{{Urethritis}}
{{Urethritis}}
{{CMG}}; {{AE}} {{CZ}}
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==Historical Perspective==
==Overview==
The urithritis was first described by Albert Neisser, a german doctor in 1879.<ref name="pmid8976858">{{cite journal |vauthors=Oriel JD |title=The history of non-gonococcal urethritis |journal=Genitourin Med |volume=72 |issue=5 |pages=374–9 |year=1996 |pmid=8976858 |pmc=1195709 |doi= |url=}}</ref>
Urethritis is inflammation of the [[urethra]], can result from infectious and noninfectious conditions.<ref name=CDCCervicitis> Diseases Characterized by Urethritis and Cervicitis. Centers for Disease Control and Prevention (2015). http://www.cdc.gov/std/tg2015/urethritis-and-cervicitis.htm Accessed on July 28, 2016 </ref> The main symptom is [[dysuria]], which is painful or difficult urination. Although[[ N. gonorrhoeae]] and [[C. trachomatis]] are well established as clinically important infectious causes of urethritis, [[Mycoplasma genitalium]] has also been associated with urethritis (240–243).
==Pathophysiology==
 
Urethritis is a genital tract inflammation mostly due to infectious causes. Its pathogenesis depends on underlying pathogen.
==Diagnosis==
*N. gonorrhoeae is usually transmitted via the genital tract to the human host
===History and Symptoms===
*Following attachment to host cell which is mediated by pili, gonococci become engulfed in a process known as parasite-directed endocytosis. This organism will survive inside the vacuoles and replicate.<ref name="pmid9916098">{{cite journal |vauthors=Scheuerpflug I, Rudel T, Ryll R, Pandit J, Meyer TF |title=Roles of PilC and PilE proteins in pilus-mediated adherence of Neisseria gonorrhoeae and Neisseria meningitidis to human erythrocytes and endothelial and epithelial cells |journal=Infect. Immun. |volume=67 |issue=2 |pages=834–43 |year=1999 |pmid=9916098 |pmc=96394 |doi= |url=}}</ref>
Asymptomatic infections are common. Symptoms, if present, include [[discharge]] (milky or pus-like) from the penis, stinging or burning during urination, [[itching]], tingling, burning, or irritation inside the penis.
*Chlamydia trachomatis is the most common pathogen among non gonorrheal causes.
 
*Infectious process starts by cell surface attachment and phagocytosis by host cell. This pathogen survives inside the cell by debilitating the cellular lysosomes and replicate as elementary bodies (the infective form of pathogen).<ref>Beatty, Wandy L., Richard P. Morrison, and Gerald I. Byrne. "Persistent chlamydiae: from cell culture to a paradigm for chlamydial pathogenesis." Microbiological reviews 58.4 (1994): 686-699.</ref><ref>Baron, Samuel. Medical microbiology. Galveston, Tex: University of Texas Medical Branch at Galveston, 1996. Print.</ref>
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 18:18, 4 October 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Historical Perspective

The urithritis was first described by Albert Neisser, a german doctor in 1879.[1]

Pathophysiology

Urethritis is a genital tract inflammation mostly due to infectious causes. Its pathogenesis depends on underlying pathogen.

  • N. gonorrhoeae is usually transmitted via the genital tract to the human host
  • Following attachment to host cell which is mediated by pili, gonococci become engulfed in a process known as parasite-directed endocytosis. This organism will survive inside the vacuoles and replicate.[2]
  • Chlamydia trachomatis is the most common pathogen among non gonorrheal causes.
  • Infectious process starts by cell surface attachment and phagocytosis by host cell. This pathogen survives inside the cell by debilitating the cellular lysosomes and replicate as elementary bodies (the infective form of pathogen).[3][4]

References

  1. Oriel JD (1996). "The history of non-gonococcal urethritis". Genitourin Med. 72 (5): 374–9. PMC 1195709. PMID 8976858.
  2. Scheuerpflug I, Rudel T, Ryll R, Pandit J, Meyer TF (1999). "Roles of PilC and PilE proteins in pilus-mediated adherence of Neisseria gonorrhoeae and Neisseria meningitidis to human erythrocytes and endothelial and epithelial cells". Infect. Immun. 67 (2): 834–43. PMC 96394. PMID 9916098.
  3. Beatty, Wandy L., Richard P. Morrison, and Gerald I. Byrne. "Persistent chlamydiae: from cell culture to a paradigm for chlamydial pathogenesis." Microbiological reviews 58.4 (1994): 686-699.
  4. Baron, Samuel. Medical microbiology. Galveston, Tex: University of Texas Medical Branch at Galveston, 1996. Print.

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