Re: Chlamydia in pregnancy

From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)
Fri Jul 23 21:31:29 2004


At Fri, 23 Jul 2004, Richard Chudacoff, MD wrote: >
>15 yo G1 at 28 weeks EGA. Positive Chlamydia at NOB. Treated with Zithromax
>pills, which she threw up the after 4 hours. Then treated with Zithromax
>powder, at night. Threw up in the morning. Positive test of cure. Treated
>with Amoxicillin for 10 days; still positive test of cure. Patient swears
>that she is not currently sexually active. Mother, who NEVER leaves her side
>says that since they moved from San Antonio, because her daughter got
>pregnant there, says she is not sexually active. CANNOT get Mom out of the
>room to examine the patient, either. Any recommendations for treatment of
>persistent Chlamydia?
>
>--
>Richard Chudacoff, MD
>
>Beer is living proof that God loves us and wants us to be happy.
>
> <http://www.brainyquote.com/quotes/quotes/b/benjaminfr109859.html> Benjamin
>Franklin
>
>Heaven grant that the burden you carry may have as easy an exit as it had an
>entrance.
>
>[Prayer To A Pregnant Woman]

>
>- <http://www.brainyquote.com/quotes/quotes/d/desiderius148996.html>
>Desiderius Erasmus
>

Erythromycin 500mg I.V Q 6hrs. X7 days, not the first time I have done it for teenage Moms, I have had them become -ve for chlamyidia only to return +ve 2 weeks prior to term. CDC guidlines point out lots of false +ves in non amplified tests. http://www.cdc.gov/std/treatment/4-2002TG.htm#Chlamydia

--
                                 Take care, John




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