Doctor Recommendation For Antibiotic-Resistant Chlamydia

[doomed]

Made the mistake of trusting someone I'd just met, and guess what I got.

It's resistant to the usual antibiotics; I have seen one doctor and did both of the standard recommended treatments, and it came right back. Doxycycline barely touched it, several days of azithromycin held it down but then it came back again.

I am looking for a doctor who specializes in treatment, preferable one who can culture and do a resistance study. (Yes, I know this is nearly impossible. If it was common or easy, I'd just ask a local doctor.)

Thanks.

[Satcommlee]

You don't say where you are, but I would guess you may need to go to one of the big hospitals or at least have a look at the doctor lists online and see who clearly specialises in dodgy diseases.

[doomed]

You don't say where you are, but I would guess you may need to go to one of the big hospitals or at least have a look at the doctor lists online and see who clearly specialises in dodgy diseases.

It doesn't matter, I'll travel wherever I need to go. I'd appreciate any specific recommendations. This is agonizing.

[uhuh]

all the big hospitals can do cultures and sensitivity testing

Bumrungrad is good, eg Dr Paibul (Urologist)

[Sheryl]

The very best place to go is the Thai Red Cross anonymous clinic (see details in the pinned HIV thread). They see more STDs than anywhere else and are completely up to date on resistance patterns, which are ever changing in Thailand.

There are indeed some highly drug resiatant strains of chalmydia (and gonorrhea) around.

[jrtmedic]

Doomed

I guess that this was a presumptive diagnosis made on the basis of your reported history/symptoms.

Treating STD;s on this basis is a bad idea and I would urge you to follow Sheryl's advise.You should also ensure that you have a full STD screen.

For others who may have put themselves at risk self treatment or treatment obtained from a non specialist Doctor is something to be avoided.

If you are not able to access the Red Cross facility in BKK I would advise seeking help from a Dr specialising in Genitourinary medicine/surgery at your nearest government regional hospital or private hospital. Always ensure that blood tests/swabs are taken ! You may need to return for the results which may indicate a need for an alteration or addition to initially prescribed treatment

[doomed]

Thank you all. I wanted to mention regarding this:

all the big hospitals can do cultures and sensitivity testing

That's not true for chlamydia, which is not a bacterium. It's almost impossible to find anyone who can do resistance testing on it. I've asked, believe me.

[manarak]

Thank you all. I wanted to mention regarding this:

all the big hospitals can do cultures and sensitivity testing

That's not true for chlamydia, which is not a bacterium. It's almost impossible to find anyone who can do resistance testing on it. I've asked, believe me.

it is a bacterium ... otherwise it would not get treated with antibiotics.

are you sure you mean chlamydia?

Edited February 13, 2013 by manarak

[jrtmedic]

"Chlamydia trachomatis" the organism which causes "Chlamydia is most definitely a bacteria !

What is true to say is that the organism is technically difficult to culture within the Laboratory, Most hospitals (particularly in the ""Third World") will not attempt to determine the antibiotic sensitivity of Chlamydia as they do not have the necessary skills, knowledge and expertise.

Knowledge of antibiotic sensitivities for organisms such as Chlamydia is therefore drawn from major so called "Reference Laboratories" often found within large university based medical schools. A close relationship with a "Reference Lab" is therefore required in order to maintain an up to date knowledge of sensitivity patterns. It is extremely unlikely that such a close relationship will be maintained other than by specialists !

This goes some way toward understanding why it is so important to seek specialist help when risky behaviour has exposed someone to the possibility of an STD.

The days of of regarding STD's as a bit of a joke are long gone. Treating these infections is becoming, increasingly, challenging.

Risk avoidance/reduction is something everyone needs to be aware of. Reducing risk is cheap, easy and just involves always using condom !

Edited February 14, 2013 by jrtmedic

[doomed]

it is a bacterium ... otherwise it would not get treated with antibiotics.

are you sure you mean chlamydia?

It has no cell wall, therefore it is not a bacterium.<p>

It is a separate class of organism, which luckily happens to be based on bacterial DNA, so it can be treated with SOME of the antibiotics that are used to treat bacteria.

Reducing risk is cheap, easy and just involves always using condom !

I did. Unfortunately, it can also be transmitted in saliva, so even a closed-mouth kiss is not entirely safe if the other person so much as licks her lips.

Edited February 18, 2013 by doomed

[manarak]

it is a bacterium ... otherwise it would not get treated with antibiotics.

are you sure you mean chlamydia?

It has no cell wall, therefore it is not a bacterium.<p>

It is a separate class of organism, which luckily happens to be based on bacterial DNA, so it can be treated with SOME of the antibiotics that are used to treat bacteria.

Not only nonsense but quite the contrary - chlamydia trachomatis is a bacterium and does have a very special cell wall type that lacks the weaknesses exploited by some types of antibiotics, making chlamydia resistant to some antibiotics. The resistance is due to its special cell wall inhibiting the action of, for example, penicillin-based antibiotics.

[FWIW]

it is a bacterium ... otherwise it would not get treated with antibiotics.

are you sure you mean chlamydia?

It has no cell wall, therefore it is not a bacterium.<p>

It is a separate class of organism, which luckily happens to be based on bacterial DNA, so it can be treated with SOME of the antibiotics that are used to treat bacteria.

No. It is a bacterium.

It is an obligate intracellular pathogen - it must replicate inside other cells, but it is most definately a bacterium, and has its own cell wall, fairly unique in structure, but definately there.