GONORRHEA

 

   GONORRHEA

It is the second most frequently occurring sexual transmitted disease. It is spread by Neisseria gonorrhea .

 it is common in people under 24 years old .

 living in high density urban areas who have multiple sex partners and unprotected sexual intercourse .

Etiology

1.      Neisseria

2.      Direct physical contact with infected host mucosa

3.      Neonate can effected by mother  during pregnancy

Incubation period

                    Three to four  days

Clinical manifestation

Man

·         Urethritis with dysuria

·         Profused purulent urethral discharge developing 2 to 5 days after infection

·         Painful and swollen testicles

Woman

·         Vaginal discharge

·         Dysuria

·         Frequent urination

·         Changes in menstruation

·         Redness and swelling occur at the site of contact with cervix and urethra

General

·         Itching

·         Soreness

·         Rectal infection gonococal pharngitis

Diagnostic evaluation

·         History and physical examination

·         Gram stain , smear of urethral and cervical exudates

·         VDRL

·         DNA  amplification

Complication

·         New born eye infection

Man

·         Prostatitis

·         Urethral strictures

Woman

·         Pelvic inflammatory disease

·         Ectopic pregnancy

·         Infertility

Management

1.      For uncomplicated gonorrhea cefexime 400 mg orally single dose . ciprofloxacin 500 mg orally single dose

2.      In Chlamydia infection azithromycin 1gm orally 2 times for 7 days