A repeat urethral smear for gram stain should be taken to determine if urethritis is still present and retested for urethral pathogens. [sahealth.sa.gov.au]

• Lymphadenopathy

  In men, gonococcal infection most frequently gives rise to acute anterior urethritis with very typical symptoms including a greenish yellow purulent discharge from the genitals, edematous meatitis, dysuria and sometimes inguinal lymphadenopathy, but no [therapeutique-dermatologique.org]

• Inguinal Lymphadenopathy

  In men, gonococcal infection most frequently gives rise to acute anterior urethritis with very typical symptoms including a greenish yellow purulent discharge from the genitals, edematous meatitis, dysuria and sometimes inguinal lymphadenopathy, but no [therapeutique-dermatologique.org]

• Pharyngitis

  Pharyngeal and rectal swab samples also need to be systematically collected from women and homosexual men. [therapeutique-dermatologique.org]

Treatment for tysonitis is similar to treatment for gonococcal urethritis and centers on the use of appropriate antibiotics. gonorrhoeae ciprofloxacin, penicillin, and tetracycline resistance among men with gonococcal urethritis (3). [medical-dictionary.thefreedictionary.com]

Our findings do not support routine use of erythromycin for treatment of pregnant, penicillin-allergic patients. ( JAMA 238:1371-1373, 1977) [jamanetwork.com]

These findings provide a basis for the rapid differential diagnosis of urethritis, which will permit immediate, definitive treatment for most men with urethritis. FULL TEXT [annals.org]

Back to top Treatment Antibiotic treatment should not be commenced until urethral swabs have been taken. First line treatment - Doxycycline 100 mg orally twice a day for 7 days (D). [sahealth.sa.gov.au]

They should only be used in very special circumstances (research, epidemiological studies). [therapeutique-dermatologique.org]

Acknowledgement: with thanks to Melbourne Sexual Health Centre Back to top Disclaimer These guidelines are based on review of current literature, current recommendations of the United States Centres for Disease Control and Prevention, World Health Organization [sahealth.sa.gov.au]