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Gonorrhoea

Introduction:

Gonorrhea is caused by the bacteria Neisseria gonorrhoeae. The infection is spread by sexual contact or though transmission during childbirth. It is customarily recommended that all patients diagnosed with gonorrhea be treated for presumed co-infection with Chlamydia trachomatis

Clinical Symptoms

Women:

The most common presenting symptom is typically vaginal discharge which is often described as being thin, full of pus, and mildly odorous. Some patients may have no other symptoms. Women may also present with other symptoms such as dysuria (burning with urination); bleeding between meses; dyspareunia (painful intercourse), and lower abdominal pain

Men

In men the major symptoms associated with gonnoccoal infections include urethritis (urinary discharge); dysuria (urinary burning); acute epididymitis; urinary strictures; and rectal infection

Females

Women may develop a condition called Pelvic Inflammatory disease (PID) which refers to acute infection of the upper genital tract structures in women (potentially including the uterus, oviducts, and ovaries). This is often accompanied by involvement of neighboring pelvic organs. Sexually transmitted disease such as Neisseria gonorrhoeae are one often implicated.

Disseminated Infection:

In males and females, the classic presentation for wide-spread infection is an arthritis-dermatitis syndrome which presents as joint or tendon pain initially.

 

Diagnosis

Urinary/Vaginal cultures and testing are the most common diagnostic tools for gonorrhea

Treatment:

For uncomplicated gonococcal infections, an antibiotic regimen prescribed by your doctor could be sufficient. For patients with advanced disease such as those with disseminated gonnocoal infection or pelivic inflammatory disease may benefit from being treated during an in-patient hospital stay