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Cervicitis, Pediatric

Camille Sabella, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Infection of the endocervix resulting in inflammation, leading to mucopurulent cervical discharge, edema, erythema, bleeding, and friability of the cervix and endocervical canal 

EPIDEMIOLOGY

DIAGNOSIS

HISTORY

  • Often asymptomatic

  • If symptomatic: The following symptoms are consistent with but not diagnostic of cervicitis:

    • Abnormal vaginal bleeding and/or discharge? Inflamed cervix may bleed spo...

TREATMENT

MEDICATION

  • Gonorrhea

    • Ceftriaxone ≤45 kg: 50 mg/kg (max 125 mg) IM × 1, >45 kg: 250 mg IM × 1, PLUS azithromycin 20 mg/kg (max 1 g) PO, single dose or doxycycline 100 mg PO b.i.d. for 7 days...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • The recommended treatment regimens have excellent cure rates.

  • The patient should have resolution of symptoms 3 to 5 days after starting therapy.

  • Patients should abs...

ADDITIONAL READING

  • American Academy of Pediatrics. Sexually transmitted infections in adolescents and children. In: Kimberlin DW, Brady MT, Jackson MA, et al, eds. Red Book: 2015 Report of the Committ...

CODES

ICD9

  • 616.9 Unspecified inflammatory disease of cervix, vagina, and vulva

  • 098.15 Gonococcal cervicitis (acute)

  • 099.53 Other venereal diseases due to chlamydia trachomatis, lower genitourinary sites

  • 1...

FAQ

  • Q: How much cervical motion tenderness is present in patients with cervicitis?

  • A: None. Patients with cervicitis have inflammation and infection of the cervix only. They do not have any evidence of...

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