Non-gonococcal urethritis is caused by: September 2012
**Core Concept**
Non-gonococcal urethritis (NGU) is a type of urethritis that is not caused by Neisseria gonorrhoeae, the bacteria responsible for gonococcal urethritis. NGU is often caused by sexually transmitted infections.
**Why the Correct Answer is Right**
Chlamydia trachomatis is a common cause of NGU, particularly in young adults. This bacterium infects the urogenital tract and causes inflammation of the urethra, leading to symptoms such as dysuria, urethral discharge, and discomfort. Chlamydia trachomatis is a obligate intracellular pathogen that can invade and replicate within the epithelial cells of the urethra, leading to the characteristic symptoms of NGU.
**Why Each Wrong Option is Incorrect**
**Option B:** Lymphogranuloma venereum (LGV) is also caused by Chlamydia trachomatis, but it is a different serovar (L1, L2, or L3) and typically presents with lymphadenopathy, genital ulcers, and bubo formation, rather than NGU.
**Option C:** Syphilis is caused by Treponema pallidum, a spirochete bacterium that can cause a range of symptoms, including a painless chancre, rash, and systemic disease. It is not typically associated with NGU.
**Option D:** Gardnerella vaginalis is a bacterium that is commonly associated with bacterial vaginosis, a condition characterized by an imbalance of the vaginal microbiota. It is not typically associated with NGU.
**Clinical Pearl / High-Yield Fact**
Chlamydia trachomatis is the most common cause of NGU in young adults, and its diagnosis often requires nucleic acid amplification testing (NAAT) or serological testing, as it can be difficult to culture. Regular screening and treatment of Chlamydia trachomatis infections are essential to prevent complications such as pelvic inflammatory disease and infertility.
β Correct Answer: A. Chlamydia.