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Mucopurulent discharge is the emission or secretion of fluid containing mucus and pus (muco-pertaining to mucus and purulent pertaining to pus) from the eye, nose, cervix, vagina or other part of the body due to infection and inflammation. Types include:
Purulent sputum [5] contains pus, composed of white blood cells, cellular debris, dead tissue, serous fluid, and viscous liquid . Purulent sputum is typically yellow or green. It is seen in cases of pneumonia, bronchiectasis, lung abscess, or an advanced stage of bronchitis. [6]
Frequently medical sources do not differentiate between the two types of discharge, instead using the general term mucopurulent discharge, which, strictly speaking, should only be used to refer to a discharge that contains both mucus and pus. Purulent discharges may be blood-streaked.
In men, urethritis is diagnosed by at least one of the following: mucopurulent or purulent urethral discharge on examination, ≥ 2 white blood cells per oil immersion field from a Gram stain of a urethral swab, or positive leukocyte esterase and/or ≥10 white blood cells per high power field of the first-void urine.
The discharge is usually more watery (mucopurulent) and less inflamed. Babies infected with chlamydia may develop pneumonitis (chest infection) at a later stage (range 2–19 weeks after delivery). Infants with chlamydia pneumonitis should be treated with oral erythromycin for 10–14 days.
The history may begin with feelings of obstructed nasal breathing or "stuffy nose" with or without nasal discharge. [10] If allergic rhinitis is suspected, a family history of allergic conditions as well as a personal history of other associated conditions such as food allergy, asthma , and atopic dermatitis can be evaluated. [ 10 ]
Purulent or suppurative exudate consists of plasma with both active and dead neutrophils, fibrinogen, and necrotic parenchymal cells. This kind of exudate is consistent with more severe infections, and is commonly referred to as pus. Fibrinous exudate is composed mainly of fibrinogen and fibrin.
Mucopurulent cervical discharge seen on a cotton bud Micrograph of salpingitis – a component of pelvic inflammatory disease. H&E stain. Upon a pelvic examination, cervical motion, uterine, or adnexal tenderness will be experienced. [5] Mucopurulent cervicitis and or urethritis may be observed.