Gonorrhoea
Neisseria gonorrhoeae (gonococus)
Infect epithelium – urogenital tract, rectum, pharynx, conjuctivae.
Gonorrhoea –clinical features
40% of woman and some men are asymptomatic.
Incubation – 2-14 days.
Men
Anterior urethritis - dysuria, urethral discharge are common.
Can cause – infection in epididymis, testes, prostate.
Homosexual – rectal infection with proctitis.
Gonorrhoea –clinical features
Women
Endocervical canal – vaginal discharge, dysuris, intermenstrual bleeding.
Can cause – salpingitis,
Commonest causes of female infertility.
Rectal infection due to local spread.
Pharyngeal infection – asymptomatic.
Conjunctivitis - Neonates born to infective mother.
Gonorrhoea – Treatment
Identify the organism – direct or culture.
Antibiotic –
Need to treat all sexual contact.
Prevention – avoid multiple partners, condoms etc.