Acute infection of the endocervical columnar epithelium is relatively uncommon. The organisms usually responsible are:
- Chlamydia trachomatis - this accounts for up to 50% of cases (1)
- Neisseria gonococcus
- Herpes simplex virus type II
- Human papilloma virus
The condition may follow childbirth or operative dilatation, and typically, is accompanied by acute infection elsewhere in the genital tract. Infection may spread into the base of the broad ligament leading to parametritis.
The patient is generally complains of vaginal discharge. On examination, the cervix may appear reddened, congested and swollen. There may be a purulent exudate.
Treatment is directed to the specific agent involved.
- Taylor-Robinson D (1994), BMJ, i, 150.
Last reviewed 01/2018