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Gonococcal Infections Updated 3/2011

Paul E. Lyons, MD
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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • General Prevention
  • Pathophysiology
  • Etiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Additional Treatment
  • In-patient Considerations

Ongoing Care

  • Follow-Up Recommendations
  • Patient Education
  • Prognosis
  • Complications
The following is an excerpt....
BASICS
Description

Gonorrhea is a sexually or vertically transmitted bacterial infection that has a predilection for epithelial cells.

  • Caused by the gram-negative intracellular diplococci, Neisseria gonorrhoeae; virtually any mucosal membrane can be infected.
  • Infection commonly manifests itself as urethritis, salpingitis, cervicitis, pelvic inflammatory disease (PID), epididymitis, or proctitis.
  • Hematogenous dissemination may also occur and lead to fever, skin lesions, arthralgias, purulent arthritis, tenosynovitis, endocarditis or, rarely, meningitis.
  • Asymptomatic carrier state can occur in both sexes.
  • In newborns, gonococcal ophthalmia neonatorum, a purulent conjunctivitis, may occur after vaginal delivery by an infected mother and may lead to blindness if not treated promptly.
  • System(s) affected: Cardiovascular; Musculoskeletal; Nervous; Reproductive; Skin/Exocrine
  • Synonym(s): GC; Clap

Epidemiology
  • Predominant age: 15–24 ...

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