Gonorrhoea

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ΕΤΥΜΟΛΟΓΙΑ

"gonos" meaning semen and "rhoia" meaning flux or flow, from Greek

Contents

Introduction

Cause of sexually transmitted disease.

Aetiology

Neisseria gonorrhoeae, a gram-negative diplococcus.

Clinical

N. gonorrhoeae causes urethral discharge/urethritis in males and vaginal discharge/vaginitis in females. The inflamed oozing cervix like a rotten strawberry in a severe acute case of G. is a remarkable sight. The condition is serious.

Investigations

Swabs should be taken of the urethra/vagina in men/women respectively (also rectal swabs). Traditionally N. gonorrhoeae is detected by culture in the microbiology laboratory. However, culture is gradually being replaced by molecular PCR-based methods in developed countries with the resources to do so.

Blood tests

Radiology

Treatment

Medical

Antimicrobial resistance is a real problem. Few isolates of gonorrhoea seen in developed countries today are susceptible to penicillin.

Surgical

Prevention

Barrier contraception provides some protection.

Notification

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