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Mark D. Aronson, MD; Russell S. Phillips, MD

JAMA. 1993;270(17):2097-2098.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Chlamydia trachomatis is a major cause of sexually transmitted diseases (STDs). In the era of the acquired immunodeficiency syndrome, it is easy to lose sight of the damage done by this vexing organism. Chlamydial diseases mimic those caused by the more virulent gonococcus, such as urethritis and pelvic inflammatory disease. Because the acute illnesses Chlamydia produces are generally less severe than gonococcal diseases, Chlamydia is more likely to escape detection. Chlamydial disease may remain asymptomatic but still result in chronic infection and, in women, scarring of the fallopian tubes, leading to infertility and ectopic pregnancy. In men, infection causes urethritis, epididymitis, and possibly infertility.¹

See also pp 2057, 2065, and 2071.

Chlamydial infection is most often asymptomatic in women.² Less well known is the observation that asymptomatic infection is also common in men.³ Because asymptomatic or minimally symptomatic men could serve as an important reservoir for the . . . [Full Text PDF of this Article]

Author Affiliations
From the Division of General Medicine and Primary Care, Beth Israel Hospital, Boston, Mass.

Footnotes
Reprint request to the Division of General Medicine and Primary Care, Beth Israel Hospital, 330 Brookline Ave, Boston, MA 02215 (Dr Aronson).

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