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Clap or gonnococcal
urethritis
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- This is a sexually transmitted
disease caused by the bacteria Neisseria
gonorrhoeae.
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- Urethritis (males) -- initially:
burning on urination, clear or milky penile discharge, then
2-3 days later, a pain in the urethra (tube where urine goes
out), followed by a yellow, creamy penile discharge. In
addition, the prostate gland and epididymis (tubes above
testicles) may become painful and inflamed.
- Proctitis -- this is a rectal
infection that has anal discharge. Most common in male
homosexuals.
- Throat infections -- sometimes
occur via oral sex
- Cervicitis (women) --
infection inside the vagina at the opening of the uterus.
Vaginal discharge may or may not be present. Urinary
symptoms often occur. Infection may spread to the tubes
(pelvic inflammatory disease), which causes severe pelvic
pain, leading to scarring in the tubes. The infection may
also spread to the rectum.
- Disseminated disease -- sometimes the Gonorrhea may spread to the rest of the body, causing diffuse joint pain/stiffness, fever, and diffuse rash. Very rarely, Meningitis can occur.
- Conjunctivitis -- an infection and inflammation in the eye. It occurs in adults when a person with Gonorrhea rubs their
eyes after touching infected body
fluids.
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- Discharges from the urethra (males)
and cervix(females) slides/smears may be done.
- DNA probes of urethral or
cervical discharge is the most common
test
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- Ceftriaxone 250mg -- one
injection only
- Ciprofloxacin by mouth, but some
bacteria are resistant
- Spectomycin injection is an
alternative injection for penicillin-allergic
individuals
- Pelvic inflammatory
disease:
- Cefoxitin, Cefotetan,
Clindamycin+Gentamicin, Cefoxitin + oral
Doxycycline
- Also: Chlamydia infections often co-exist at the same time with Gonorrheal infections
and should be treated as well (Doxycycline or Azithromycin
commonly used).
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Both you
and your partner need to be treated. Untreated, infections
may lead to more chronic and severe infections. In addition,
this infection can cause scarring in the tubes of females,
which may result in
infertility.
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