Gonorrhoea

Causative Organism

Caused by infection with the bacteria Neisseria gonorrhoeae.
Its STI, treatment of partners is required.

Symptoms

• Asymptomatic in up to 50% of cases.
• Vaginal discharge the most common symptom.
• Lower abdominal pain in up to 25%.

Examination

• Is often normal.
• Cervicitis with or without a mucopurulent discharge may be seen.

Complications

• Ascending infection may result in PID and.
• Haematogenous spread can cause disseminated gonococcal infection with arthritis that is typically (monoarticular).
• Ophthalmic infection occurs due to inoculation from infected genital secretions.
• Neonatal infection occurs when the mother has endocervical infection at the time of delivery.

Tests

• NAAT tests are highly sensitive and specific.
• Culture and sensitivity testing (antimicrobiological resistance).
• Screening for other STIs, particularly for (C. trachomatis).

Treatment

Third-generation cephalosporin plus azithromycin. (to reduce drug resistance).