Chlamydia pp 237-239 | Cite as

Chlamydial Infections in Adolescence

  • Pers-Anders Mårdh
  • Jorma Paavonen
  • Mirja Puolakkainen


The influence of youth on the epidemiology, pathophysiology, and manifestations of STDs has only recently been appreciated. Although the clinical manifestations of STDs are essentially the same in adolescents and adults, the maturing female reproductive system is often more susceptible to STD organisms than during later life. In some instances chlamydial infections in adolescents lead to more severe manifestations as well as to more severe complications and late sequelae. For instance, the immature metaplastic epithelial cells in the squamocolumnar junction of the cervix are less well differentiated than cells from other areas of the cervix. Therefore adolescent women have increased susceptibility to selected STD organisms and increased vulnerability to the action of oncogenic agents (Briggs and Paavonen, 1984). Cervical ectopy with endocervical columnar cells extending well out on the ectocervix may increase this susceptibility to C. trachomatis.


Adolescent Male Pelvic Inflammatory Disease Antenatal Clinic Chlamydial Infection Female Reproductive System 
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Copyright information

© Plenum Publishing Corporation 1989

Authors and Affiliations

  • Pers-Anders Mårdh
    • 1
  • Jorma Paavonen
    • 2
  • Mirja Puolakkainen
    • 3
  1. 1.Institute of Clinical BacteriologyUniversity of UppsalaUppsalaSweden
  2. 2.Helsinki University Central HospitalHelsinkiFinland
  3. 3.Institute of VirologyUniversity of HelsinkiHelsinkiFinland

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