The genus Chlamydia comprises three identified species: Chlamydia trachomatis
which is pathogenic principally to humans, Chlamydia psittaci which is
pathogenic to birds, animals and occasionally man, and Chlamydia pneumoniae
which causes respiratory infections and atypical pneumonia in man.
C. trachomatis is clinically one of the most important
pathogens and is the leading cause of sexually transmitted diseases
(STD) in industrialised countries.
Serotypes A, B, Ba and C are the agents of trachoma,
the commonest preventable cause of blindness; serotypes L1, L2 & L3
are associated with Lymphogranuloma venereum while the remaining
serotypes, D-K, are associated with genital tract infections ranging
from non-gonococcal urethritis, cervicitis, vulvovaginitis, proctitis
and infertility, many of which remain undetected and untreated, to
more severe manifestations such as pelvic inflammatory disease, salpingitis
and extopic pregnancy in females and epididymitis in males. Serotypes
D-K may also cause inclusion conjunctivities, punctuate keratitis
and occasionally scarring or endemic trachoma that often arise in
patients with unrecognised genital symptoms. Neonatal ophthalmic
complications and respiratory diseases may occur in children born
to infected mothers.
Infection of C. trachomatis is initiated by the attachment
of the elementary body (EB) to columnar epithelial cells where it
gains entry by endocytosis. EBs grow and differentiate to form reticulate
bodies (RBs). These then divide by binary fission and after 24 -
48 hours the RBs differentiate within the expanding inclusion to
form EBs. A mature inclusion may contain approx. 104 chlamydial bodies.
Routine diagnosis of C. trachomatis infections involves
one of the following methods:
a) Culturing patient
material in animal cells and observing the intracellular chlamydial
inclusion bodies by staining and visual examination. However, this
takes at least 48 hours.
b) Detection of
Chlamydia by nucleic acid hybridisation or amplification. Results
are reliable but cost intensive.
c) Direct examination
of patient material by enzyme immunoassay (EIA) or immunofluorescence.
The EIA method is rapid and independent of microscopic assessment
and hence is the method of choice for many laboratories.
MASTAZYME CHLAMYDIA is a rapid EIA test for the quantitative
determination of Chlamydia antigen permitting clinicians to detect
and consequently treat chlamydial infections effectively.
Advantages of MASTAZYME CHLAMYDIA: